Detection of Right Coronary Artery Air Embolism by Transesophageal Echocardiography

JOURNAL TITLE: Journal of Perioperative Echocardiography

Author
1. Gurpinder S Ghotra
2. Srinath Damodaran
3. Imran Bhat
4. Sunderlal Negi
ISSN
2320-527X
DOI
10.5005/jp-journals-10034-1084
Volume
6
Issue
1
Publishing Year
2018
Pages
4
Author Affiliations
    1. Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
    1. Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
    1. Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  • Article keywords
    Intracoronary air embolism, Right ventricle dysfunction, Transesophageal echocardiography

    Abstract

    Cardiac air embolism is common while undergoing cardiac surgeries as these require an opening of left-sided cardiac chambers, right-sided cardiac chambers, aorta or due to inadequate de-airing of a saphenous vein graft. Right coronary artery air embolism is one of the common cause of hemodynamic instability after coming off cardiopulmonary bypass. We discussed two cases in which the transesophageal echocardiography (TEE) helped in diagnosing right-coronary artery air embolism as the cause of sudden ST-segment elevation, hemodynamic instability, and right ventricular (RV) dysfunction.

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