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J Thorac Cardiovasc Surg 2006;132:1502
© 2006 The American Association for Thoracic Surgery

Letter to the Editor

Carbon dioxide embolism induced by endoscopic saphenous vein harvesting during coronary artery bypass grafting

Arnaud Mommerot, MD, Louis P. Perrault, MD, PhD

Department of Surgery and Research Center, Montreal Heart Institute and Université de Montréal, Montreal, Quebec, Canada

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

To the Editor:

We read with great interest the article by Dr Kypson1Go reporting a case of carbon dioxide embolism during saphenous vein harvesting for coronary artery bypass grafting (CABG) in a 43-year-old woman. Saphenous venous conduits were harvested by the endoscopic method with carbon dioxide insufflation. On weaning from cardiopulmonary bypass (CPB), the endoscope was reinserted to control hemostasis and a massive gaseous embolism occurred that did not respond to pharmacologic resuscitation, leading to the need for reinstitution of the CPB. Direct inspection revealed a torn saphenofemoral junction that was . . . [Full Text of this Article]


Related Article

Reply to the Editor
Alan P. Kypson
J. Thorac. Cardiovasc. Surg. 2006 132: 1502-1503. [Extract] [Full Text] [PDF]





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