Detection of Right Coronary Artery Air Embolism by Transesophageal Echocardiography
Imran Bhat, Gurpinder S Ghotra, Srinath Damodaran, Krishna P Gourav, Sunderlal Negi
Intracoronary air embolism, Right ventricle dysfunction, Transesophageal echocardiography
Citation Information :
Bhat I, Ghotra GS, Damodaran S, Gourav KP, Negi S. Detection of Right Coronary Artery Air Embolism by Transesophageal Echocardiography. J Perioper Echocardiogr 2018; 6 (1):29-32.
Cardiac air embolism is common while undergoing cardiac surgeries as these require an opening of left-sided cardiac chambers, right-sided cardiac chambers, aorta or due to inadequate de-airing of a saphenous vein graft. Right coronary artery air embolism is one of the common cause of hemodynamic instability after coming off cardiopulmonary bypass. We discussed two cases in which the transesophageal echocardiography (TEE) helped in diagnosing right-coronary artery air embolism as the cause of sudden ST-segment elevation, hemodynamic instability, and right ventricular (RV) dysfunction.
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