Kole S D, Saksena D S, Oswal D H
Department of Cardiothoracic Surgery, Bombay Hospital and Medical Research Centre, India.
J Heart Valve Dis. 1994 Sep;3(5):583-4.
We present an unusual sequence of events leading to massive cerebral air embolism and death in a patient who underwent mitral valve re-replacement for failure of the previously inserted bioprosthetic valve. An iatrogenic communication was created inadvertently between the adherent lung parenchyma and the left atrium. It caused a massive influx of air from the lung into the left atrium and systemic circulation causing fatal cerebral embolization. Retroperfusion was not effective.
我们报告了一例不同寻常的事件序列，该事件导致一名因先前植入的生物瓣膜功能衰竭而接受二尖瓣再次置换术的患者发生大量脑空气栓塞并死亡。在粘连的肺实质与左心房之间无意中形成了医源性交通。这导致大量空气从肺涌入左心房和体循环，引起致命的脑栓塞。逆向灌注无效。
