J Korean Soc Emerg Med.
2017 Aug;28(4):395-398. 10.0000/jksem.2017.28.4.395.
Cerebral and Coronary Air Embolism after Percutaneous Needle Aspiration Biopsy of Lung
- Affiliations
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- 1Department of Emergency Medicine, Kangwon National University Hospital, Chuncheon, Korea. otgotg11@gmail.com
- 2Department of Radiology, Kangwon National University Hospital, Chuncheon, Korea.
- 3Department of Internal Medicine, Kangwon National University Hospital, Chuncheon, Korea.
- KMID: 2393985
- DOI: http://doi.org/10.0000/jksem.2017.28.4.395
Abstract
- Percutaneous needle aspiration biopsy is a relatively simple and safe procedure for the diagnosis of lung and mediastinal lesions. Systemic air embolism during and after percutaneous needle aspiration biopsy of the lung is very rare; however, it is still a complication that can cause fatal outcomes, such as cerebral infarction and myocardial infarction. Here, we report a 72-year-old woman who suffered a change in consciousness immediately after receiving a percutaneous needle aspiration biopsy for the pathologic examination of pulmonary nodules found during a routine health medical examination. She had left side weakness and ST segment elevation on an electrocardiogram. After a high concentration of oxygen, she recovered from neurological symptoms and electrocardiographic abnormalities. The authors report a case of air embolism occurring simultaneously in the brain and coronary arteries after percutaneous needle aspiration biopsy.
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