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British Journal of Anaesthesia, 2002, Vol. 88, No. 1 136-138
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Paradoxical air embolism during hepatic resection

S. Y. Lee*,1, B. I. W. Choi2, J. S. Kim1 and K. S. Park1

1Department of Anesthesiology and 2Department of Cardiology, Ajou University, School of Medicine, 5 Wonchon-Dong, Paldal-Gu, Suwon 441-749, Korea* Corresponding author

Systemic venous air embolism is a serious complication in patients with chronic liver disease having liver surgery. Intrapulmonary arteriovenous shunting can permit air emboli to pass into the systemic circulation. We describe a case of paradoxical air embolism detected by transoesophageal echocardiography in a patient with cirrhosis who was having a hepatic resection.

Br J Anaesth 2002; 88: 136–8


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