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Eur J Cardiothorac Surg 2007;31:944-945. doi:10.1016/j.ejcts.2007.01.054
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case reports

CO2 embolism during minimally invasive vein harvesting

Evgenij V. Potapov*, Semih Buz, Roland Hetzer

Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin, Germany

Received 1 December 2006; received in revised form 16 January 2007; accepted 29 January 2007.

* Corresponding author. Tel.: +49 30 4593 2065; fax: +49 30 4593 2079. (Email: potapov{at}dhzb.de).

CO2 embolism is a known, though rare, complication of procedures using CO2 insufflation. We report massive cardiac right atrial CO2 embolism during minimally invasive harvesting of a varicose great saphenous vein. The patient's hemodynamics deteriorated significantly and needed to be stabilized by emergency institution of cardiopulmonary bypass. Causes of this rare but potentially lethal complication are discussed, as well as its prediction, diagnosis, and prevention.

Key Words: Minimally invasive vein harvesting • CO2 insufflation • Embolism • Complication varicosis




This article has been cited by other articles:


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 Eur. J. Cardiothorac. Surg.Home page
P. K. Sinha, A. Jayant, and B. Kumar
The need for monitoring during endovascular vein harvesting
Eur. J. Cardiothorac. Surg., January 1, 2008; 33(1): 137 - 137.
[Full Text] [PDF]

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 Eur. J. Cardiothorac. Surg.Home page
E. V. Potapov, S. Buz, and R. Hetzer
Reply to Sinha et al.
Eur. J. Cardiothorac. Surg., January 1, 2008; 33(1): 137 - 138.
[Full Text] [PDF]


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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.