Case Report
Volume 3 Issue 12 - 2020
Unusual Multifocal and Extensive Presentation of Air Embolism of Iatrogenic Origin: Cerebral, Pulmonary and Digestive
Tahirou Soufiane*, Souley Abdoul Aziz, Benchekroun Zeinabe, Kouda François, Haloua Meryem, Alami Badre, Alaoui Lamrani Youssef, Maâroufi Moustapha and Boubbou Meryem
Mother-Child Radiology Department, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco
*Corresponding Author: Tahirou Soufiane, Mother-Child Radiology Department, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco.
Received: October 15, 2020; Published: November 30, 2020




Abstract

Massive air embolism of iatrogenic origin is rarely described in the literature. Classically diagnosed in intensive care patients, it is a rare but potentially fatal complication of medical procedures, especially endovascular surgical interventions. Its pathophysiological mechanism is well known today, possibly of arterial or venous origin. It should be clinically suspected in any patient with neurological impairment following peripheral or central endovascular manipulation. The radiological explorations make it possible to easily establish the positive diagnosis and at the same time makes it possible to assess the extension and complication, in particular ischemic. We report the clinical and radiological observation of a patient aged 3 years and 6 months who presented with an acute disturbance of consciousness after cardiovascular surgery in whom the cerebral and thoraco-abdominal scanner without injection of contrast medium has allowed to make the radiological diagnosis.

Keywords: Dyspnea; CT; Air Embolism; Iatrogenic Origin; Cerebral; Pulmonary; Digestive

References

  1. Isabelle Pierre. “Gas embolism medical thesis: treatment in Nancy and in the various hyperbaric centers in France (2010).
  2. Secretain F., et al. “A novel software program for detection of potential air emboli during cardiac surgery”. Cardiovasc Ultrasound 13 (2015): 3.
  3. Mishra R., et al. “Fatal cerebral air embolism: a case series and literature review”. Case Reports in Critical Care (2016): 3425321.
  4. Adam Low., et al. “Air embolism and Anesthesia General anaesthesia tutorial 340/ATOTW 340- Air Embolism and Anaesthesia” (2016): 7.
  5. N Raposo F., et al. “Iatrogenic cerebral gas embolism of venous origin without respiratory sign: a retrograde mechanism”. EM-consulte (2010).
  6. Vinit Suri., et al. “An unusual cause of ischemic stroke - Cerebral air embolism”. Annals of Indian Academy of Neurology 1 (2014): 89-91.
  7. V Souday A., et al. “Diagnostic and therapeutic management of gas embolism. Elsevier Scientific and Medical Publishing 2003”. Réanimation 12 (2003): 482-490.
  8. Clark D and Norris T. “Pulmonary barotrauma-induced cerebral arterial gas embolism with spontaneous recovery: commentary on the rationale for therapeutic compression”. Aviation Space and Environmental Medicine 73 (2002): 139-146.
  9. Huon A. “Pronostic à long terme des embolies gazeuses iatrogènes”. Thèse Paris 5 (2007): 1-58.
  10. Kennedy C., et al. “Fatal hepatic air embolism following ERCP”. Gastrointestinal Endoscopy 45 (1997): 187-188
  11. Rashmi Mishra., et al. “Fatal Cerebral Air Embolism: A Case Series and Literature Review”. Case Report in Critical Care (2016): 4.
  12. Colin J., et al. “Air Embolism: Diagnosis, Clinical Management and Out Comes”. Diagnostics1 (2017): 5.
  13. Orebaugh SL. “Venous air embolism: clinical and experimental considerations”. Critical Care Medicine 20 (1992): 1169-1177.
Citation: Tahirou Soufiane., et al. “Unusual Multifocal and Extensive Presentation of Air Embolism of Iatrogenic Origin: Cerebral, Pulmonary and Digestive”. EC Clinical and Medical Case Reports 3.12 (2020): 64-68.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


April Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the April issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for upcoming Issue

Ecronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before April 22, 2021.

Certificate of Publication

Ecronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

Ecronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to editor@ecronicon.uk