Ventricular fibrillation caused by massive right coronary air embolism: a case report

Abstract Background Coronary air embolism is a rare but severe complication of coronary interventions. Case presentation We present a case of a massive air embolism in the right coronary artery during percutaneous coronary intervention, resulting in ventricular fibrillation. The patient was successf...

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Bibliographic Details
Main Authors: Hongcai Zhang, Ai-ling Huang, Qian Nie, Haseeb Sattar, Xie Wen
Format: Article
Language:English
Published: SpringerOpen 2025-01-01
Series:The Egyptian Heart Journal
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Online Access:https://doi.org/10.1186/s43044-024-00592-1
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Summary:Abstract Background Coronary air embolism is a rare but severe complication of coronary interventions. Case presentation We present a case of a massive air embolism in the right coronary artery during percutaneous coronary intervention, resulting in ventricular fibrillation. The patient was successfully resuscitated with electric defibrillation, leading to full recovery and TIMI 3 coronary flow. The final fractional flow reserve showed no residual coronary microvascular dysfunction. Conclusion Our finding suggests that inducing strong myocardial contractions with a cardioverter defibrillator may effectively disperse large air emboli and restore coronary circulation.
ISSN:2090-911X