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Interact CardioVasc Thorac Surg 2008;7:659-660. doi:10.1510/icvts.2007.174581
© 2008 European Association of Cardio-Thoracic Surgery
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Negative results - Coronary

Carbon dioxide embolism during endoscopic vein harvesting

Muhammed Tamim*, Maher Omrani, Adel Tash and Ahmed El Watidy

Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi Arabia

*Corresponding author. Riyadh Armed Force Hospital, P.O Box 7897, Internal P.O Box 638, Riyadh, 11159, Kingdom of Saudi Arabia, Tel.: +966500486104.

E-mail address: mttamim{at}yahoo.com (T. Muhammed).

Endoscopic vein harvesting (EVH) is becoming common for the patients undergoing coronary artery bypass grafting. Using carbon dioxide insufflations during the vein harvest can produce rare but catastrophic CO2 embolism. We report a case of massive right atrial CO2 embolism due to femoral vein injury which occurred during the performance of a routine EVH procedure.

Key Words: CO2 embolism; Endoscopic vein harvest

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