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Cerebral Air Embolism and Cardiomyopathy Secondary to Large Bulla Rupture during a Pulmonary Function Test

  • Lee, Ha (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Hyun Soo (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Moon, Dulk Hwan (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Sungsoo (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • Received : 2019.07.29
  • Accepted : 2019.09.18
  • Published : 2020.02.05

Abstract

Cerebral air embolism combined with cardiomyopathy secondary to pulmonary barotrauma is rare. Here, we report an unusual case of cerebral air embolism combined with transient cardiomyopathy secondary to large bulla rupture during a pulmonary function test after lung cancer surgery. The patient experienced loss of consciousness. Computed tomography and magnetic resonance imaging suggested a cerebral air embolism. Electrocardiography showed ST-segment elevation and abnormally high plasma levels of cardiac enzymes. Echocardiography and coronary angiography suggested cardiomyopathy. The patient was discharged with no sequelae.

Keywords

References

  1. Farshchi Zarabi S, Parotto M, Katznelson R, Downar J. Massive ischemic stroke due to pulmonary barotrauma and cerebral artery air embolism during commercial air travel. Am J Case Rep 2017;18:660-4. https://doi.org/10.12659/AJCR.903354
  2. Gudmundsdottir JF, Geirsson A, Hannesson P, Gudbjartsson T. Major ischaemic stroke caused by an air embolism from a ruptured giant pulmonary bulla. BMJ Case Rep 2015;2015:bcr2014208159. https://doi.org/10.1136/bcr-2014-208159
  3. Iwama E, Okamoto I, Yabuuchi H, et al. Characteristics of smoking patients with lung cancer with emphysematous bullae. J Thorac Oncol 2016;11:1586-90. https://doi.org/10.1016/j.jtho.2016.04.024
  4. Tanaka H, Matsumura A, Ohta M, Ikeda N, Kitahara N, Iuchi K. Late sequelae of lobectomy for primary lung cancer: fibrobullous changes in ipsilateral residual lobes. Eur J Cardiothorac Surg 2007;32:859-62. https://doi.org/10.1016/j.ejcts.2007.09.012
  5. Restrepo RD, Wettstein R, Wittnebel L, Tracy M. Incentive spirometry: 2011. Respir Care 2011;56:1600-4. https://doi.org/10.4187/respcare.01471
  6. Cooper BG. An update on contraindications for lung function testing. Thorax 2011;66:714-23. https://doi.org/10.1136/thx.2010.139881