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Ann Thorac Surg 2006;81:721-723
© 2006 The Society of Thoracic Surgeons

Case report

Cerebral Air Embolism During Imaging of a Sentinel Lymphatic Drainage in the Respiratory Tract

Kazuhiro Ueda, MD a , * , Yoshikazu Kaneda, MD a , Manabu Sudo, MD a , Mitsutaka Jinbo, MD a , Kazuyoshi Suga, MD b , Kimikazu Hamono, MD a

a First Department of Surgery, Yamaguchi University School of Medicine, Ube, Yamaguchi, Japan
b Department of Radiology, Yamaguchi University School of Medicine, Ube, Yamaguchi, Japan

Accepted for publication November 12, 2004.

* Address correspondence to Dr Ueda, Yamaguchi University School of Medicine, 1–1–1 Minami-Kogushi, Ube Yamaguchi 755–8505, Japan (Email: kaueda{at}c-able.ne.jp).

We report a rare but notable case of cerebral air embolism complicating transthoracic intrapulmonary injection of an imaging agent used to locate sentinel lymph nodes. After a bolus injection of 2 mL of iopamidol into the peritumoral area with a 23-gauge needle, the patient complained of complete paralysis on his left side. Intraaortic gas was detected by computed tomography immediately after the injection. The patient recovered spontaneously without any additional complication. Surgeons should be aware of this rare but possible complication during sentinel lymph node assessment.






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