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J Thorac Cardiovasc Surg 2006;131:1403-1404
© 2006 The American Association for Thoracic Surgery

Brief Communication

Late air embolism with interventional removal after isolated coronary artery bypass grafting

U. Engelmann, MD a , H. Minden, MD b , U.A. Stock, MD a , * , R. Kühnel, MD a , J.M. Albes, MD a

a Department of Cardiac Surgery, Heart Center Brandenburg, Bernau/Berlin, Germany
b Department of Cardiology, Heart Center Brandenburg, Bernau/Berlin, Germany.

Received for publication December 29, 2005; accepted for publication January 24, 2006.

* Address for reprints: Ulrich Stock, MD, Department of Cardiac Surgery, Heart Center Brandenburg, Ladeburger Strasse 17, 16321 Bernau, Germany. (Email: Ulrich.stock@charite.de).

The first 20% of the full text of this article appears below.

Air embolization during coronary artery bypass grafting (CABG) is an unpleasant but common phenomenon. Application of extended reperfusion with increased perfusion pressure normally resolves this problem. Late occurrence after successful weaning from extracorporeal circulation and transferal to the intensive care unit has so far not been published. We report on a case of successful interventional removal, highlighting an optimal collaborative approach for the treatment of coronary artery disease.

Clinical Summary

A 67-year-old female patient with triple coronary artery disease was admitted to our institution with acute occlusion of the left anterior descending coronary artery (LAD), unstable angina, and significantly reduced left ventricular function with an estimated ejection fraction of 30%. Preoperative echocardiography revealed normal valve function and intact atrial . . . [Full Text of this Article]




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