[Venous gas embolism from pleurovenous fistula]

Ann Fr Anesth Reanim. 2007 Mar;26(3):242-4. doi: 10.1016/j.annfar.2006.10.001. Epub 2007 Feb 2.
[Article in French]

Abstract

We report the case of an iatrogenic gas embolism related to a subclavian vein catheterization complicated by a preexisting partial pneumothorax. Catheterization was indicated because of a septic shock due to nosocomial pneumonia. Five days after the catheterization, the haemodynamics and gas exchanges of the patient worsened. A transthoracic echography showed gas embolism in the right heart related to a right partial pneumothorax. A leak between the pleura and the left subclavian vein was diagnosed. The insertion of a chest tube stopped the airflow, by suppressing the pneumothorax.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Catheterization / adverse effects
  • Embolism, Air / etiology*
  • Humans
  • Iatrogenic Disease
  • Male
  • Pneumonia
  • Pneumothorax / complications
  • Pneumothorax / etiology
  • Respiratory Tract Fistula / complications*
  • Subclavian Vein
  • Vascular Fistula / complications*