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Eur J Cardiothorac Surg 2002;22:845-846
© 2002 Elsevier Science NL

Case report

Traumatic cardiogenic shock due to massive air embolism. A possible role for cardiopulmonary bypass

Departments of Cardiothoracic Surgery and Cardiology, Kings College Hospital, Camberwell Green, London SE1, UK

Received 7 February 2002; received in revised form 19 May 2002; accepted 17 July 2002.

* Corresponding author. Tel.: +44-207-737-4000; fax: +44-207-346-3433
e-mail: ranr3{at}aol.com

Systemic arterial embolism is a potentially lethal complication of bronchopulmonary venous fistula in trauma patients with blunt chest trauma or isolated penetrating lung injury on positive pressure ventilation. A high index of suspicion, early diagnosis and management in specialized centres are keys to a successful outcome.

Key Words: Arterial • Air embolism • Bronchopulmonary • Fistula