PMID- 38507911
OWN - NLM
STAT- MEDLINE
DCOM- 20240322
LR  - 20240322
IS  - 1833-3516 (Print)
IS  - 1833-3516 (Linking)
VI  - 54
IP  - 1
DP  - 2024 Mar 31
TI  - Secondary deterioration in a patient with cerebral and coronary arterial gas 
      embolism after brief symptom resolution: a case report.
PG  - 61-64
LID - 10.28920/dhm54.1.61-64 [doi]
AB  - INTRODUCTION: Hyperbaric oxygen treatment (HBOT) is recommended for arterial gas 
      embolism (AGE) with severe symptoms. However, once symptoms subside, there may be 
      a dilemma to treat or not. CASE PRESENTATION: A 71-year-old man was noted to have 
      a mass shadow in his left lung, and a transbronchial biopsy was performed with 
      sedation. Flumazenil was intravenously administered at the end of the procedure. 
      However, the patient remained comatose and developed bradycardia, hypotension, 
      and ST-segment elevation in lead II. Although the ST changes spontaneously 
      resolved, the patient had prolonged disorientation. Whole- body computed 
      tomography revealed several black rounded lucencies in the left ventricle and 
      brain, confirming AGE. The patient received oxygen and remained supine. His 
      neurological symptoms gradually improved but worsened again, necessitating HBOT. 
      HBOT was performed seven times, after which neurological symptoms resolved almost 
      completely. CONCLUSIONS: AGE can secondarily deteriorate after symptoms have 
      subsided. We recommend that HBOT be performed promptly once severe symptoms 
      appear, even if they resolve spontaneously.
CI  - Copyright: This article is the copyright of the authors who grant Diving and 
      Hyperbaric Medicine a non-exclusive licence to publish the article in electronic 
      and other forms.
FAU - Tsushima, Ryota
AU  - Tsushima R
AD  - Yokohama Municipal Citizen's Hospital 1-1, Mitsuzawanishi-chou, Kanagawa-ku, 
      Yokohama-city, Kanagawa-ken 221-0855, Japan.
AD  - Corresponding author: Dr Ryota Tsushima, Yokohama Municipal Citizen's Hospital 
      1-1, Mitsuzawanishi-chou, Kanagawa-ku, Yokohama-city, Kanagawa-ken 221-0855, 
      Japan, r19950410@gmail.com.
FAU - Mori, Kosuke
AU  - Mori K
AD  - Yokohama Minami Kyosai Hospital 1-21-1, Mutsurahigashi, Kanazawa-ku, Yokohama- 
      city, Kanagawa-ken 236-0037, Japan.
FAU - Imaki, Shohei
AU  - Imaki S
AD  - Yokohama Municipal Citizen's Hospital 1-1, Mitsuzawanishi-chou, Kanagawa-ku, 
      Yokohama-city, Kanagawa-ken 221-0855, Japan.
LA  - eng
PT  - Case Reports
PL  - Australia
TA  - Diving Hyperb Med
JT  - Diving and hyperbaric medicine
JID - 101282742
SB  - IM
MH  - Humans
MH  - Aged
MH  - *Embolism, Air/diagnostic imaging/etiology/therapy
MH  - Lung
MH  - *Hyperbaric Oxygenation/adverse effects
MH  - Brain
OTO - NOTNLM
OT  - Air embolism
OT  - Case reports
OT  - Hyperbaric oxygen treatment
EDAT- 2024/03/21 00:44
MHDA- 2024/03/22 06:44
CRDT- 2024/03/20 19:06
PHST- 2023/08/23 00:00 [received]
PHST- 2023/11/12 00:00 [accepted]
PHST- 2024/03/22 06:44 [medline]
PHST- 2024/03/21 00:44 [pubmed]
PHST- 2024/03/20 19:06 [entrez]
AID - 10.28920/dhm54.1.61-64 [doi]
PST - ppublish
SO  - Diving Hyperb Med. 2024 Mar 31;54(1):61-64. doi: 10.28920/dhm54.1.61-64.