JACC. Case reports · 2026
Robotic-Assisted Navigational Bronchoscopy Complicated by Systemic Air Embolism.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Jain Paul K, Dawoud Abdallatif, Safi Mohammad, Leffler Madison, Gerken Jacob, Ali Mohammed, Qari Jalil, Grande Robert
Аннотация
BACKGROUND: Robotic-assisted bronchoscopy (RAB) is a minimally invasive modality with a highly favorable safety profile. Systemic air embolism (SAE) is an exceedingly rare and catastrophic complication that is only recently emerging in literature surrounding RAB.
CASE SUMMARY: A 74-year-old woman undergoing RAB developed an immediate ST-elevation myocardial infarction, airway bleeding, and cardiac arrest. Angiography revealed nonobstructive coronary arteries but identified a massive air embolism in the left ventricular apex. Her hospital course was complicated by severe cerebral edema, seizures, and acute limb ischemia.
DISCUSSION: We highlight a catastrophic instance of SAE resulting from RAB. We discuss its pathophysiology, imaging limitations, and the severe contraindications precluding hyperbaric oxygen therapy in patients with underlying structural lung disease.
TAKE-HOME MESSAGES: SAE is a life-threatening RAB complication that can mimic acute coronary syndrome. Minimally invasive procedures carry fatal risks, especially in patients lacking the physiologic reserve to tolerate vital rescue treatments.
CASE SUMMARY: A 74-year-old woman undergoing RAB developed an immediate ST-elevation myocardial infarction, airway bleeding, and cardiac arrest. Angiography revealed nonobstructive coronary arteries but identified a massive air embolism in the left ventricular apex. Her hospital course was complicated by severe cerebral edema, seizures, and acute limb ischemia.
DISCUSSION: We highlight a catastrophic instance of SAE resulting from RAB. We discuss its pathophysiology, imaging limitations, and the severe contraindications precluding hyperbaric oxygen therapy in patients with underlying structural lung disease.
TAKE-HOME MESSAGES: SAE is a life-threatening RAB complication that can mimic acute coronary syndrome. Minimally invasive procedures carry fatal risks, especially in patients lacking the physiologic reserve to tolerate vital rescue treatments.