Lethal coronary air embolism caused by the removal of a doub
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Central venous catheterization (CVC) is an important practice in the intensive care unit. CVC is commonly used in critically ill patients for hemodynamic monitoring, administration of fluid to treat hypovolemia and shock, infusion of highly concentrated drugs and total parenteral nutrition, and for hemodialysis. Special care is usually taken during CVC insertion, with less attention given to CVC removal. Air embolism after CVC removal is a rare event, but when it occurs it leads to a variety of complications that can be fatal, which are related to the amount and speed of air into the bloodstream.

This article reports a case in which an acute myocardial infarction occurred in the region supplied by the right coronary artery after the removal of a double-lumen hemodialysis catheter. Emergent coronary angiography revealed air bubbles obstructing the mid-segment of the right coronary artery with slow flow phenomenon distally. The patient expired due to myocardial infarction...

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