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Ann Thorac Surg 2002;73:296-297
© 2002 The Society of Thoracic Surgeons
a Long Island Jewish Medical Center, North Shore—LIJ Health System, New Hyde Park, New York, USA
Accepted for publication April 26, 2001.
* Address reprint requests to Dr Graver, Long Island Jewish Medical Center, Rm 2123, 270-05 76th Ave, New Hyde Park, NY 11040, USA
e-mail: Graver{at}lij.edu
Gas embolism is a known complication of minimal access procedures in which carbon dioxide insufflation is used. We report a case of significant venous and right heart gas embolization, which occurred during performance of routine minimally invasive vein harvesting. This was manifest by hemodynamic deterioration secondary to transmission by a patent foramen ovale into the left heart and coronary circulation. Techniques to predict, diagnose, and prevent this rare but potentially fatal complication of minimally invasive vein harvesting are suggested.
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