Uncommon Occurrence of an Air Embolism during the Preanhepatic Phase of an Orthotopic Liver Transplant

Vascular air embolism (VAE) during liver transplantation usually occurs during the dissection phase of the procedure or during liver reperfusion. If this phenomenon occurs, it can cause significant cardiovascular, pulmonary, and neurological complications. Prompt identification of VAE is essential,...

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Main Authors: Klint J. Smart, Saman Yaghoubian
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2021/6628961
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author Klint J. Smart
Saman Yaghoubian
author_facet Klint J. Smart
Saman Yaghoubian
author_sort Klint J. Smart
collection DOAJ
description Vascular air embolism (VAE) during liver transplantation usually occurs during the dissection phase of the procedure or during liver reperfusion. If this phenomenon occurs, it can cause significant cardiovascular, pulmonary, and neurological complications. Prompt identification of VAE is essential, and the surgeon should be immediately notified. The mainstay treatment is identification and rectification of the source of the air embolus, hemodynamic support, and prevention of further air entrainment. This case report describes the occurrence of a pulmonary air embolism during the preanhepatic phase of an orthotopic liver transplant.
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spelling doaj-art-0325c3ce2db043b39c249c7fb4bdc74e2025-02-03T01:26:58ZengWileyCase Reports in Anesthesiology2090-63822090-63902021-01-01202110.1155/2021/66289616628961Uncommon Occurrence of an Air Embolism during the Preanhepatic Phase of an Orthotopic Liver TransplantKlint J. Smart0Saman Yaghoubian1Department of Anesthesiology, Westchester Medical Center, 100 Woods Road, Valhalla 10595, NY, USADepartment of Anesthesiology, Westchester Medical Center, 100 Woods Road, Valhalla 10595, NY, USAVascular air embolism (VAE) during liver transplantation usually occurs during the dissection phase of the procedure or during liver reperfusion. If this phenomenon occurs, it can cause significant cardiovascular, pulmonary, and neurological complications. Prompt identification of VAE is essential, and the surgeon should be immediately notified. The mainstay treatment is identification and rectification of the source of the air embolus, hemodynamic support, and prevention of further air entrainment. This case report describes the occurrence of a pulmonary air embolism during the preanhepatic phase of an orthotopic liver transplant.http://dx.doi.org/10.1155/2021/6628961
spellingShingle Klint J. Smart
Saman Yaghoubian
Uncommon Occurrence of an Air Embolism during the Preanhepatic Phase of an Orthotopic Liver Transplant
Case Reports in Anesthesiology
title Uncommon Occurrence of an Air Embolism during the Preanhepatic Phase of an Orthotopic Liver Transplant
title_full Uncommon Occurrence of an Air Embolism during the Preanhepatic Phase of an Orthotopic Liver Transplant
title_fullStr Uncommon Occurrence of an Air Embolism during the Preanhepatic Phase of an Orthotopic Liver Transplant
title_full_unstemmed Uncommon Occurrence of an Air Embolism during the Preanhepatic Phase of an Orthotopic Liver Transplant
title_short Uncommon Occurrence of an Air Embolism during the Preanhepatic Phase of an Orthotopic Liver Transplant
title_sort uncommon occurrence of an air embolism during the preanhepatic phase of an orthotopic liver transplant
url http://dx.doi.org/10.1155/2021/6628961
work_keys_str_mv AT klintjsmart uncommonoccurrenceofanairembolismduringthepreanhepaticphaseofanorthotopiclivertransplant
AT samanyaghoubian uncommonoccurrenceofanairembolismduringthepreanhepaticphaseofanorthotopiclivertransplant