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doi: 10.1213/XAA.0000000000000007
Case Reports: Case Report

Paradoxical Air Embolism to Left Anterior Descending Artery During Induction of Anesthesia in a Patient with an Atrial Septal Defect

Kumar, Dinesh US, DM, PDCC*; Gadhinglajkar, Shrinivas Vitthal MD, PDCC*; Moorthy, Krishna DM; Bhandari, Dhiraj MD, PDCC*

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Abstract

Systemic air embolism is a complication after IV injection of air bubbles adhering to IV tubing, 3-way injection ports, and residual air in drug-filled syringes. Paradoxical air embolism across an intracardiac septal defect is a well-known complication, but paradoxical air embolism to the left coronary artery is a rare condition. We report the case of a 50-year-old woman scheduled for elective device closure of an atrial septal defect in whom coronary air embolism to the left anterior descending artery occurred after anesthetic induction.

© 2014 International Anesthesia Research Society

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