Massive Air Embolism During Open Heart Surgery

Yıl 2011, Cilt: 13 Sayı: 1, 61 - 62, 01.03.2011

Hayati Deniz H Selçuk Gedik Kemal Korkmaz

Öz

Massive air embolism is the most serious complication of cardiopulmonary bypass during openheart surgery. 24 year old man had undergone an open heart operation for aort valve replacement.After cardiopulmonary bypass started and left atrial vent was applied, we detected a massiveair in the arterial cannula. The pump was stopped and trandelenburg position was given to thepatient. The connection of the arterial line was cut. A cannula was placed to vena cava superiorfor temporary retrograde serebral perfusion. 0.5 - l/min retrograde serebral perfusion wassupplied aproximately for five minutes. Abundant air was discharged from the localizatiof theaortic canulation. Aortic valve replacement was performed under cardiopulmonary bypass. Thepatient developed no neurologic deficit and was discharged without any problem. To avoiddestructive complications of routine cardiac surgery, cardiac surgeons must be fast and knowwhat to do

Anahtar Kelimeler

Massive air embolism, cardiopulmonary bypass, retrograde serebral perfusion

Açık Kalp Cerrahisinde Masif Hava Embolisi

Öz

Kardiyopulmoner bypass sırasında oluşan masif hava embolisi açık kalp cerrahisinin en ciddikomplikasyonlarından biridir. Aort kapak replasmanı için 24 yaşındaki erkek hasta operasyonaalındı. Kardiyopulmoner bypassa girilmesinden hemen sonra sol atrial vent uygulanırken tümarteriyel kanülasyon hattında masif hava kabarcıkları oluştu Hemen pompa durduruldu, hastaderin trendelenburg pozisyonuna getirildi. Arteriyel kanül hattının bağlantısı kesildi.. Vena kavasuperiora kanül yerleştirilerek geçici retrograd serebral perfüzyon uygulandı. Ortalama 0.5 lt/dkakımla beş dakika perfüzyon sağlandı. Aort kanülasyon yerinden bol miktarda hava kabarcıklarıboşaltıldı. Tekrar pompaya girilerek hastaya aort kapak replasmanı yapıldı. Hastada nörolojiksekel oluşmadı ve sorunsuz taburcu edildi. Rutin kardiyak cerrahi pratiğinde karşılaşılabilecekbu ağır komplikasyon karşısında her cerrahi ekip hızla ve nasıl hareket edileceği konusundahazırlıklı olmalıdır

Anahtar Kelimeler

Masif hava embolisi, kardiyopulmoner bypass, retrograd serebral perfüzyon

Kaynakça

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