ABSTRACT

Elkhatib WY, Teixeira MT, Welch BT, LeTourneau WM, Diedrich DA, Toups G. Myocardial Ischemia- Associated Arterial Embolism Management from Pulmonary Cryotherapy. Undersea Hyperb Med. 2025 Third Quarter; 52(3):349-356.

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 involving interventional radiology, anesthesiology, cardiology, critical care, and hyperbaric medicine were employed to ensure a successful recovery, alongside important management considerations aimed at minimizing adverse outcomes.

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