Year : 2020  |  Volume : 23  |  Issue : 3  |  Page : 354--356

Massive air embolism during off-pump CABG: A case report


Swapnil Verma, Upadhayula Srinivas, Priyanka Mittal, Anand Kumar Sathpathy 
 Department of Anaesthesia, Apollo Hospital, Jubilee Hills, Hyderabad, India

Correspondence Address:
Swapnil Verma
Department of Anesthesia, CTOT, International Block, First Floor, Apollo Hospital Jubilee Hills, Hyderabad
India

Off-pump coronary artery bypass grafting (OPCAB), although devoid of the morbidity associated with cardiopulmonary bypass (CPB), has its own technical difficulties. Achieving optimum tissue stabilization on a beating heart along with hemodynamic fragility due to extreme positioning also complicates the anesthetic management. In addition, it is difficult to obtain a clear surgical field in the presence of arteriotomy. The use of catheter-directed high-flow gas blower (mister blower) helps achieve a clear surgical field to a great extent. However, there have been reported cases of arterial and pulmonary embolism caused by these high-flow gas blowers. The present case reports a case of massive venous air embolism caused by the use of mister blower.


How to cite this article:
Verma S, Srinivas U, Mittal P, Sathpathy AK. Massive air embolism during off-pump CABG: A case report.Ann Card Anaesth 2020;23:354-356


How to cite this URL:
Verma S, Srinivas U, Mittal P, Sathpathy AK. Massive air embolism during off-pump CABG: A case report. Ann Card Anaesth [serial online] 2020 [cited 2020 Nov 28 ];23:354-356
Available from: https://www.annals.in/article.asp?issn=0971-9784;year=2020;volume=23;issue=3;spage=354;epage=356;aulast=Verma;type=0