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  • Title: Fatal cerebral air embolism during open heart surgery caused by lung parenchyma to left atrial communication.
    Author: Kole SD, Saksena DS, Oswal DH.
    Journal: J Heart Valve Dis; 1994 Sep; 3(5):583-4. PubMed ID: 8000596.
    Abstract:
    We present an unusual sequence of events leading to massive cerebral air embolism and death in a patient who underwent mitral valve re-replacement for failure of the previously inserted bioprosthetic valve. An iatrogenic communication was created inadvertently between the adherent lung parenchyma and the left atrium. It caused a massive influx of air from the lung into the left atrium and systemic circulation causing fatal cerebral embolization. Retroperfusion was not effective.
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