Fatal Arterial Gas Embolism in an Adult 1 Year After Bilateral Sequential Lung Transplantation

David B. Erasmus, Francisco Alvarez, Cesar A. Keller

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Fatal systemic air embolism (SAE) related to positive pressure ventilation is a rare complication. Case reports in the pediatric literature usually relate to complications in ventilating neonates and are more common. We describe what we believe to be the first such case in an adult ventilated with a high-frequency oscillating ventilator (HFOV) for acute respiratory distress syndrome (ARDS). The patient had undergone bilateral sequential lung transplantation 12 months earlier for idiopathic pulmonary fibrosis. Radiographic findings showed cerebral and aortic gas embolization and livedo reticularis with widespread cerebral infarction and cerebral edema.

Original languageEnglish (US)
Pages (from-to)692-694
Number of pages3
JournalJournal of Heart and Lung Transplantation
Volume27
Issue number6
DOIs
StatePublished - Jun 2008

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Transplantation

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