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Management of Massive Air Embolism during Open-heart Surgery with Retrograde Perfusion of the Cerebral Vessels and Hyperbaric Oxygenation

Marika Toscano, R. Chiavarelli, Giovanni Ruvolo, A. Macchiarelli, G Scibilia, Bruno Marino

Abstract

Retrograde perfusion through the superior vena cava was used in 2 patients who were injured by massive air embolism occurring during open-heart surgery. They underwent hyperbaric treatment immediately following completion of the intracardiac repair. Both patients made complete recovery and were discharged, with no defects attributable to the incident.

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Available abstract

Key concepts: Medicine, Intracardiac injection, Air embolism, Hyperbaric oxygenation, Perfusion, Cerebral embolism, Embolism, Cerebral perfusion pressure