Myocardial Ischemia-Associated Arterial Embolism Management from Pulmonary Cryotherapy New!

ABSTRACT

A 52-year-old male undergoing pulmonary lesion cryoablation developed transient intraprocedural and postprocedural hypotension, transient ST elevations on telemetry with associated bradyarrhythmia, and computed tomography imaging revealing arterial gas embolism within the left ventricle and aorta. Coordinated multidisciplinary efforts with interventional radiology, anesthesiology, cardiology, critical care, and hyperbaric medicine were used to ensure successful recovery alongside important management considerations to minimize adverse outcomes.

Keywords: air embolism; bubbles; cardiovascular; cerebral arterial gas embolism (CAGE); electrocardiography; hyperbaric medicine; hyperbaric oxygen therapy; pulmonary function