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KMID : 0385920170280040395
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Journal of the Korean Society of Emergency Medicine
2017 Volume.28 No. 4 p.395 ~ p.398
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Cerebral and Coronary Air Embolism after Percutaneous Needle Aspiration Biopsy of Lung
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Shin Myoung-Cheol
Ohk Taek-Geun
Cho Jun-Hwi
Moon Joong-Bum
Park Chan-Woo
Kim Ka-Eul
Yang Go-Eun
Lee Hui-Young
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Abstract
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Percutaneous needle aspiration biopsy is a relatively simple and safe procedure for the diagnosis of lung and mediastinal lesions. Systemic air embolism during and after percutaneous needle aspiration biopsy of the lung is very rare; however, it is still a complication that can cause fatal outcomes, such as cerebral infarction and myocardial infarction. Here, we report a 72-year-old woman who suffered a change in consciousness immediately after receiving a percutaneous needle aspiration biopsy for the pathologic examination of pulmonary nodules found during a routine health medical examination. She had left side weakness and ST segment elevation on an electrocardiogram. After a high concentration of oxygen, she recovered from neurological symptoms and electrocardiographic abnormalities. The authors report a case of air embolism occurring simultaneously in the brain and coronary arteries after percutaneous needle aspiration biopsy.
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KEYWORD
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Embolism, Air, Intracranial embolism, Biopsy, Needle
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