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"Air embolism during fontan operation"


1 Department of Anaesthesia, Royal Hospital, Muscat, Oman
2 Department of Paediatric Cardiology, Royal Hospital, Muscat, Oman

Correspondence Address:
Madan Mohan Maddali
Department of Anaesthesia, Royal Hospital, P.O. Box 1331, P.C.: 111, Seeb, Muscat
Oman
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.135874

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Year : 2014  |  Volume : 17  |  Issue : 3  |  Page : 229-231

 

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In patients with a right to left intracardiac shunt, air embolism results in an obligatory systemic embolization. Nonembolization of entrained air is described in a child with a single ventricle physiology who had earlier undergone bidirectional Glenn shunt construction and Damus-Kaye-Stansel anastomosis. The air entrainment was detected by intra-operative transesophageal echocardiography. The combined effect of a "diving bell" phenomenon and mild aortic valve regurgitation are suggested as the reasons for the confinement of air into the ventricle preventing catastrophic systemic embolization.






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1 Department of Anaesthesia, Royal Hospital, Muscat, Oman
2 Department of Paediatric Cardiology, Royal Hospital, Muscat, Oman

Correspondence Address:
Madan Mohan Maddali
Department of Anaesthesia, Royal Hospital, P.O. Box 1331, P.C.: 111, Seeb, Muscat
Oman
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.135874

Rights and Permissions

In patients with a right to left intracardiac shunt, air embolism results in an obligatory systemic embolization. Nonembolization of entrained air is described in a child with a single ventricle physiology who had earlier undergone bidirectional Glenn shunt construction and Damus-Kaye-Stansel anastomosis. The air entrainment was detected by intra-operative transesophageal echocardiography. The combined effect of a "diving bell" phenomenon and mild aortic valve regurgitation are suggested as the reasons for the confinement of air into the ventricle preventing catastrophic systemic embolization.






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