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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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-01-01
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| Series: | The Egyptian Heart Journal |
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| Online Access: | https://doi.org/10.1186/s43044-024-00592-1 |
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| author | Hongcai Zhang Ai-ling Huang Qian Nie Haseeb Sattar Xie Wen |
| author_facet | Hongcai Zhang Ai-ling Huang Qian Nie Haseeb Sattar Xie Wen |
| author_sort | Hongcai Zhang |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-deae765d225b4c58876a1a6f827e17d4 |
| institution | Kabale University |
| issn | 2090-911X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj-art-deae765d225b4c58876a1a6f827e17d42025-01-12T12:29:00ZengSpringerOpenThe Egyptian Heart Journal2090-911X2025-01-017711310.1186/s43044-024-00592-1Ventricular fibrillation caused by massive right coronary air embolism: a case reportHongcai Zhang0Ai-ling Huang1Qian Nie2Haseeb Sattar3Xie Wen4Department of Cardiology, Hospital of Chengdu University of Traditional Chinese MedicineDepartment of Cardiology, Hospital of Pidu District of Traditional Chinese MedicineDepartment of Cardiology, Hospital of Chengdu University of Traditional Chinese MedicineDepartment of Medicine, Urban Vocational College of SichuanDepartment of Cardiology, Hospital of Chengdu University of Traditional Chinese MedicineAbstract 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.https://doi.org/10.1186/s43044-024-00592-1Right coronary arteryPercutaneous coronary interventionFractional flow reserveCoronary artery air embolismCoronary slow flow |
| spellingShingle | Hongcai Zhang Ai-ling Huang Qian Nie Haseeb Sattar Xie Wen Ventricular fibrillation caused by massive right coronary air embolism: a case report The Egyptian Heart Journal Right coronary artery Percutaneous coronary intervention Fractional flow reserve Coronary artery air embolism Coronary slow flow |
| title | Ventricular fibrillation caused by massive right coronary air embolism: a case report |
| title_full | Ventricular fibrillation caused by massive right coronary air embolism: a case report |
| title_fullStr | Ventricular fibrillation caused by massive right coronary air embolism: a case report |
| title_full_unstemmed | Ventricular fibrillation caused by massive right coronary air embolism: a case report |
| title_short | Ventricular fibrillation caused by massive right coronary air embolism: a case report |
| title_sort | ventricular fibrillation caused by massive right coronary air embolism a case report |
| topic | Right coronary artery Percutaneous coronary intervention Fractional flow reserve Coronary artery air embolism Coronary slow flow |
| url | https://doi.org/10.1186/s43044-024-00592-1 |
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