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Cerebral air embolism following the removal of a central venous catheter in the absence of intracardiac right-to-left shunting: a case report

Authors
 Da Hae Eum  ;  Seung Hwan Lee  ;  Hyung Won Kim  ;  Myung Jae Jung  ;  Jae Gil Lee 
Citation
 Medicine, Vol.94(13) : 630-630, 2015 
Journal Title
 Medicine 
ISSN
 0025-7974 
Issue Date
2015
Abstract
Air embolism following central venous catheter (CVC) removal is a relatively uncommon complication. Despite its rare occurrence, an air embolism can lead to serious outcomes. One of the most fatal complications is cerebral air embolism. We report a case of cerebral air embolism that occurred after the removal of a CVC in a patient with an underlying idiopathic pulmonary fibrosis, subcutaneous emphysema, pneumomediastinum, and a possible intrapulmonary shunt. Although the patient had a brief period of recovery, his condition deteriorated again, and retention of carbon dioxide was sustained due to aggravation of pneumonia. Despite full coverage of antibiotics and maximum care with the ventilator, the patient died about 5 weeks after the removal of the CVC. We suggest that strict compliance to protocols is required even while removing the catheter. Furthermore, additional caution to avoid air embolism is demanded in high-risk patients, such as in this case.
Files in This Item:
T201500888.pdf Download
DOI
10.1097/MD.0000000000000630
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
김형원(Kim, Hyung Won)
이승환(Lee, Seung Hwan) ORCID logo https://orcid.org/0000-0001-7325-8262
이재길(Lee, Jae Gil) ORCID logo https://orcid.org/0000-0002-1148-8035
정명재(Jung, Myung Jae)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139788
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