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Massive Air Embolism During MitraClip Insertion

  • Niels Erik NielsenEmail author
  • Jacek Baranowski
  • Gabriella Boano
  • Eva Nylander
  • Lars Wallby
Chapter

Abstract

This case describes massive air embolism occurring a MitraClip procedure. This most likely occurred when the guide catheter was against the left atrial wall, resulting in external air entrainment. There was air embolism to the right coronary artery causing acute myocardial ischemia and ventricular fibrillation. The patient was successfully rescued and recovered. She underwent a successful MitraClip procedure subsequently.

Keywords

Mitral regurgitation MitraClip Air embolism 

Supplementary material

Video 40.1

TEE showing air in the ascending aorta (AVI 7402 kb)

Video 40.2

Coronary angiography showing air in the RCA (AVI 2472 kb)

Video 40.3

TEE showing the SGC impinging on the LA wall (AVI 16223 kb)

Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • Niels Erik Nielsen
    • 1
    • 2
    Email author
  • Jacek Baranowski
    • 1
    • 3
  • Gabriella Boano
    • 1
    • 4
  • Eva Nylander
    • 1
    • 5
  • Lars Wallby
    • 1
    • 2
  1. 1.Seldinger UnitHeart Centre, University HospitalLinköpingSweden
  2. 2.Department of CardiologyHeart Centre, University HospitalLinköpingSweden
  3. 3.Department of Clinical PhysiologyHeart Centre, University HospitalLinköpingSweden
  4. 4.Department of Thoracic SurgeryHeart Centre, University HospitalLinköpingSweden
  5. 5.Department of Clinical Physiology, Faculty of Health SciencesHeart Centre, University HospitalLinköpingSweden

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