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Successful management of a large air embolus during an extended right hepatectomy with an emergency cardiopulmonary bypass.

ABSTRACT:

Background

An air embolus is a recognized but rare complication of a partial hepatectomy. The aim of this report was to describe the diagnosis and management of a large paradoxical air embolus during hepatic resection.

Methods

Case report.

Results

A single patient report of a massive paradoxical air embolus during an extended right hepatectomy is described. The diagnosis was confirmed by trans-oesophageal echo (video provided). After failed conservative management an emergency cardiopulmonary bypass was instituted with a successful outcome.

Conclusion

Surgeons and anaesthetists involved in hepatic surgery should be aware of signs, investigations and management of this life-threatening intra-operative complication.

SUBMITTER: Foo E

PROVIDER: S-EPMC3521917 | biostudies-literature |

REPOSITORIES: biostudies-literature

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