Cited 15 times in

Carbon dioxide embolism induced right coronary artery ischaemia during off-pump obtuse marginalis artery grafting.

DC Field Value Language
dc.contributor.author곽영란-
dc.contributor.author심재광-
dc.contributor.author유경종-
dc.contributor.author최용선-
dc.date.accessioned2015-04-24T16:47:36Z-
dc.date.available2015-04-24T16:47:36Z-
dc.date.issued2009-
dc.identifier.issn1010-7940-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/104181-
dc.description.abstractAlthough use of carbon dioxide (CO2) blower has been regarded safe during off-pump coronary bypass surgery (OPCAB), we experienced a case of right coronary artery ischaemia induced by retrograde CO2 embolism originating from the opened obtuse marginalis artery during OPCAB. The spray pressure can exceed the diastolic pressure, especially during grafting at the lateral or posterior wall when haemodynamic compromise due to mechanical heart displacement is most severe. In this situation, CO2 blowing at an incompletely slinged coronary arteriotomy site can result in retrograde migration of CO2 into the ascending aorta causing coronary embolism of the right coronary artery. When signs of ischaemia on the right coronary artery are encountered during grafting of other coronary artery, although CO2 blower has been used, gas embolism should also be considered as the cause and identified at the mid-oesophageal aortic valve long-axis view. When confirmed, the use of gas blower should immediately be discontinued and coronary perfusion pressure increased while allowing time for the CO2 to be absorbed. In case of massive embolism, needle aspiration of the gas should also be considered-
dc.description.statementOfResponsibilityopen-
dc.format.extent598~599-
dc.relation.isPartOfEUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHCarbon Dioxide/adverse effects*-
dc.subject.MESHCoronary Artery Bypass, Off-Pump/adverse effects*-
dc.subject.MESHCoronary Artery Bypass, Off-Pump/methods-
dc.subject.MESHCoronary Stenosis/diagnostic imaging-
dc.subject.MESHCoronary Stenosis/etiology*-
dc.subject.MESHCoronary Stenosis/surgery-
dc.subject.MESHEmbolism, Air/diagnostic imaging-
dc.subject.MESHEmbolism, Air/etiology*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIntraoperative Care/adverse effects-
dc.subject.MESHIntraoperative Complications/diagnostic imaging*-
dc.subject.MESHUltrasonography-
dc.titleCarbon dioxide embolism induced right coronary artery ischaemia during off-pump obtuse marginalis artery grafting.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic & Cardiovascular Surgery (흉부외과학)-
dc.contributor.googleauthorJae Kwang Shim-
dc.contributor.googleauthorYong Seon Choi-
dc.contributor.googleauthorKyung Jong Yoo-
dc.contributor.googleauthorYoung Lan Kwak-
dc.identifier.doi10.1016/j.ejcts.2009.04.062-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00172-
dc.contributor.localIdA02205-
dc.contributor.localIdA02453-
dc.contributor.localIdA04119-
dc.relation.journalcodeJ00811-
dc.identifier.eissn1873-734X-
dc.identifier.pmid19586779-
dc.identifier.urlhttp://ejcts.oxfordjournals.org/content/36/3/598.long-
dc.subject.keywordGas embolism-
dc.subject.keywordOff-pump surgery-
dc.subject.keywordCoronary bypass-
dc.contributor.alternativeNameKwak, Young Lan-
dc.contributor.alternativeNameShim, Jae Kwang-
dc.contributor.alternativeNameYoo, Kyung Jong-
dc.contributor.alternativeNameChoi, Yong Seon-
dc.contributor.affiliatedAuthorKwak, Young Lan-
dc.contributor.affiliatedAuthorShim, Jae Kwang-
dc.contributor.affiliatedAuthorYoo, Kyung Jong-
dc.contributor.affiliatedAuthorChoi, Yong Seon-
dc.citation.volume36-
dc.citation.number3-
dc.citation.startPage598-
dc.citation.endPage599-
dc.identifier.bibliographicCitationEUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, Vol.36(3) : 598-599, 2009-
dc.identifier.rimsid56098-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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