"Air embolism during fontan operation"

Ann Card Anaesth. 2014 Jul-Sep;17(3):229-31. doi: 10.4103/0971-9784.135874.

Abstract

In patients with a right to left intracardiac shunt, air embolism results in an obligatory systemic embolization. Nonembolization of entrained air is described in a child with a single ventricle physiology who had earlier undergone bidirectional Glenn shunt construction and Damus-Kaye-Stansel anastomosis. The air entrainment was detected by intra-operative transesophageal echocardiography. The combined effect of a "diving bell" phenomenon and mild aortic valve regurgitation are suggested as the reasons for the confinement of air into the ventricle preventing catastrophic systemic embolization.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Echocardiography, Transesophageal
  • Embolism, Air / diagnostic imaging*
  • Fontan Procedure*
  • Head-Down Tilt
  • Heart Defects, Congenital / surgery*
  • Humans
  • Male