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Ann Thorac Surg 2002;73:1647-1649
© 2002 The Society of Thoracic Surgeons

Case report

Massive gas embolism during pulmonary nodule hook wire localization

Thomas A. Horan, FRCSC*a, Petrúcia M. Pinheiro, MDa, Luis M. Araújo, MDa, Flávia F. Santiago, MDb, Monica R. Rodrigues, MDc

a Divisions of Thoracic Surgery, Hospital SARAH, Brasília, Brazil
b Oncology, Hospital SARAH, Brasília, Brazil
c Anesthesia, Hospital SARAH, Brasília, Brazil

Accepted for publication September 25, 2001.

* Address reprint requests to Dr Horan, Hospital SARAH, SMHS, Quadra 501, Conjunto "A," Brasília, Distrito Federal, 70330-150, Brazil
e-mail: thoran{at}bsb.sarah.br

The locaization of pulmonary nodules by the hook wire technique has allowed accurate resection of small and nonsuperficial pulmonary nodules by video-assisted thoracoscopic surgery. Hook wire localization has been shown efficacious and safe with principal complications limited to pneumothorax, wire dislocation, and localized intrapulmonary hemorrhage. We report a case of massive gas embolism complicating this procedure. The probable causative mechanisms and possible methods for avoidance are discussed.




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