Aparício Daniel, Mendes Miguel L, Almeida Rita, Eira Carla, Patrão Pedro, Albuquerque Ana
Internal Medicine, Unidade Local de Saúde Viseu Dão-Lafões, Viseu, PRT.
Internal Medicine, Centro Hospitalar Tondela-Viseu, Viseu, PRT.
Cureus. 2025 Feb 23;17(2):e79535. doi: 10.7759/cureus.79535. eCollection 2025 Feb.
CT-guided transthoracic lung biopsy is a commonly performed procedure for diagnosing pulmonary lesions. While generally safe, it has known risks. Pneumothorax, pulmonary hemorrhage, and hemoptysis are among the most frequent complications. Although rare, serious complications such as air embolism can occur, and while uncommon, it is a potentially life-threatening condition that may result from this procedure. It can lead to acute ischemic stroke or acute myocardial infarction, which can be fatal. Here, we describe a case of a 72-year-old man with a right lower lobe pulmonary nodule who had a cardiorespiratory arrest due to air embolism due to a CT-guided biopsy of the pulmonary nodule found on a previous CT scan of the chest. The patient was successfully resuscitated and intubated for mechanical ventilation and admitted to an intensive care unit. He was later transferred to the pulmonology unit and discharged home in stable condition.
CT引导下经胸肺活检是诊断肺部病变的常用方法。虽然该操作总体安全，但存在已知风险。气胸、肺出血和咯血是最常见的并发症。空气栓塞等严重并发症虽然罕见，但也可能发生，而且这种情况虽然不常见，但却是该操作可能导致的潜在危及生命的状况。它可导致急性缺血性中风或急性心肌梗死，可能会致命。在此，我们描述了一例72岁男性患者，该患者右肺下叶有一个肺结节，在之前的胸部CT扫描中发现该肺结节后进行CT引导下活检，因空气栓塞导致心肺骤停。患者成功复苏并插管进行机械通气，随后入住重症监护病房。他后来被转至肺病科，出院时病情稳定。
