Intraoperative Visible Air Bubbling Recorded as a Sign of Massive Venous Air Embolism During Prone Position Surgery for Extensive Ossification of Spinal Ligaments: A Case Report with a Video Clip.
Identifieur interne : 000058 ( Main/Exploration ); précédent : 000057; suivant : 000059Intraoperative Visible Air Bubbling Recorded as a Sign of Massive Venous Air Embolism During Prone Position Surgery for Extensive Ossification of Spinal Ligaments: A Case Report with a Video Clip.
Auteurs : Naohisa Miyakoshi [Japon] ; Michio Hongo [Japon] ; Yuji Kasukawa [Japon] ; Yoshinori Ishikawa [Japon] ; Daisuke Kudo [Japon] ; Yoichi Shimada [Japon]Source :
- World neurosurgery [ 1878-8769 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Arrêt cardiaque (thérapie), Arrêt cardiaque (étiologie), Complications peropératoires (MeSH), Décubitus ventral (MeSH), Embolie gazeuse (complications), Humains (MeSH), Ligament jaune (chirurgie), Mâle (MeSH), Ossification du ligament longitudinal postérieur (chirurgie), Ossification hétérotopique (chirurgie), Réanimation cardiopulmonaire (MeSH), Syndrome de détresse respiratoire de l'adulte (étiologie), Tomodensitométrie (MeSH), Vertèbres cervicales (chirurgie), Vertèbres thoraciques (chirurgie).
- MESH :
- chirurgie : Ligament jaune, Ossification du ligament longitudinal postérieur, Ossification hétérotopique, Vertèbres cervicales, Vertèbres thoraciques.
- thérapie : Arrêt cardiaque.
- étiologie : Arrêt cardiaque, Syndrome de détresse respiratoire de l'adulte.
- complications : Adulte, Complications peropératoires, Décubitus ventral, Embolie gazeuse, Humains, Mâle, Réanimation cardiopulmonaire, Tomodensitométrie.
English descriptors
- KwdEn :
- Adult (MeSH), Cardiopulmonary Resuscitation (MeSH), Cervical Vertebrae (surgery), Embolism, Air (complications), Heart Arrest (etiology), Heart Arrest (therapy), Humans (MeSH), Intraoperative Complications (MeSH), Ligamentum Flavum (surgery), Male (MeSH), Ossification of Posterior Longitudinal Ligament (surgery), Ossification, Heterotopic (surgery), Prone Position (MeSH), Respiratory Distress Syndrome, Adult (etiology), Thoracic Vertebrae (surgery), Tomography, X-Ray Computed (MeSH).
- MESH :
- complications : Embolism, Air.
- etiology : Heart Arrest, Respiratory Distress Syndrome, Adult.
- surgery : Cervical Vertebrae, Ligamentum Flavum, Ossification of Posterior Longitudinal Ligament, Ossification, Heterotopic, Thoracic Vertebrae.
- therapy : Heart Arrest.
- Adult, Cardiopulmonary Resuscitation, Humans, Intraoperative Complications, Male, Prone Position, Tomography, X-Ray Computed.
Abstract
BACKGROUND
Venous air embolism (VAE) is a rare but, frequently, fatal complication that can occur during surgery. Several reported studies have shown visible bubbling of air at the surgical site as the first clinical indication of VAE-induced cardiovascular collapse during prone-position spine surgery. However, to the best of our knowledge, video imaging of this phenomenon has not been previously reported.
CASE DESCRIPTION
A 41-year-old man had undergone cervical laminoplasty for ossification of the posterior longitudinal ligament and thoracic laminectomy for ossification of the posterior longitudinal ligament and ossification of the ligamentum flavum in the prone position. The entire surgery was recorded with video imaging. Before cardiac arrest due to the massive VAE, visible air bubbling had been observed at the operated site of the thoracic laminectomy, and this phenomenon had been incidentally recorded with the video. The patient recovered with cardiopulmonary resuscitation and intensive treatment against severe acute respiratory distress syndrome due to pulmonary damage.
CONCLUSIONS
The present case report offers the first video imaging evidence of intraoperative visible air bubbling as a sign of a massive VAE during prone-position spine surgery. To the best of our knowledge, this is also the first report of intraoperative VAE in a patient with extensive ossification of the spinal ligaments.
DOI: 10.1016/j.wneu.2019.07.166
PubMed: 31369880
Affiliations:
Links toward previous steps (curation, corpus...)
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Electronic address: miyakosh@doc.med.akita-u.ac.jp.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita</wicri:regionArea><wicri:noRegion>Akita</wicri:noRegion></affiliation></author><author><name sortKey="Hongo, Michio" sort="Hongo, Michio" uniqKey="Hongo M" first="Michio" last="Hongo">Michio Hongo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita</wicri:regionArea><wicri:noRegion>Akita</wicri:noRegion></affiliation></author><author><name sortKey="Kasukawa, Yuji" sort="Kasukawa, Yuji" uniqKey="Kasukawa Y" first="Yuji" last="Kasukawa">Yuji Kasukawa</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita</wicri:regionArea><wicri:noRegion>Akita</wicri:noRegion></affiliation></author><author><name sortKey="Ishikawa, Yoshinori" sort="Ishikawa, Yoshinori" uniqKey="Ishikawa Y" first="Yoshinori" last="Ishikawa">Yoshinori Ishikawa</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita</wicri:regionArea><wicri:noRegion>Akita</wicri:noRegion></affiliation></author><author><name sortKey="Kudo, Daisuke" sort="Kudo, Daisuke" uniqKey="Kudo D" first="Daisuke" last="Kudo">Daisuke Kudo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita</wicri:regionArea><wicri:noRegion>Akita</wicri:noRegion></affiliation></author><author><name sortKey="Shimada, Yoichi" sort="Shimada, Yoichi" uniqKey="Shimada Y" first="Yoichi" last="Shimada">Yoichi Shimada</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita</wicri:regionArea><wicri:noRegion>Akita</wicri:noRegion></affiliation></author></analytic><series><title level="j">World neurosurgery</title><idno type="eISSN">1878-8769</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Cardiopulmonary Resuscitation (MeSH)</term><term>Cervical Vertebrae (surgery)</term><term>Embolism, Air (complications)</term><term>Heart Arrest (etiology)</term><term>Heart Arrest (therapy)</term><term>Humans (MeSH)</term><term>Intraoperative Complications (MeSH)</term><term>Ligamentum Flavum (surgery)</term><term>Male (MeSH)</term><term>Ossification of Posterior Longitudinal Ligament (surgery)</term><term>Ossification, Heterotopic (surgery)</term><term>Prone Position (MeSH)</term><term>Respiratory Distress Syndrome, Adult (etiology)</term><term>Thoracic Vertebrae (surgery)</term><term>Tomography, X-Ray Computed (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Arrêt cardiaque (thérapie)</term><term>Arrêt cardiaque (étiologie)</term><term>Complications peropératoires (MeSH)</term><term>Décubitus ventral (MeSH)</term><term>Embolie gazeuse (complications)</term><term>Humains (MeSH)</term><term>Ligament jaune (chirurgie)</term><term>Mâle (MeSH)</term><term>Ossification du ligament longitudinal postérieur (chirurgie)</term><term>Ossification hétérotopique (chirurgie)</term><term>Réanimation cardiopulmonaire (MeSH)</term><term>Syndrome de détresse respiratoire de l'adulte (étiologie)</term><term>Tomodensitométrie (MeSH)</term><term>Vertèbres cervicales (chirurgie)</term><term>Vertèbres thoraciques (chirurgie)</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Ligament jaune</term><term>Ossification du ligament longitudinal postérieur</term><term>Ossification hétérotopique</term><term>Vertèbres cervicales</term><term>Vertèbres thoraciques</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Embolism, Air</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Heart Arrest</term><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Cervical Vertebrae</term><term>Ligamentum Flavum</term><term>Ossification of Posterior Longitudinal Ligament</term><term>Ossification, Heterotopic</term><term>Thoracic Vertebrae</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Heart Arrest</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Arrêt cardiaque</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Arrêt cardiaque</term><term>Syndrome de détresse respiratoire de l'adulte</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cardiopulmonary Resuscitation</term><term>Humans</term><term>Intraoperative Complications</term><term>Male</term><term>Prone Position</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term><term>Complications peropératoires</term><term>Décubitus ventral</term><term>Embolie gazeuse</term><term>Humains</term><term>Mâle</term><term>Réanimation cardiopulmonaire</term><term>Tomodensitométrie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Venous air embolism (VAE) is a rare but, frequently, fatal complication that can occur during surgery. Several reported studies have shown visible bubbling of air at the surgical site as the first clinical indication of VAE-induced cardiovascular collapse during prone-position spine surgery. However, to the best of our knowledge, video imaging of this phenomenon has not been previously reported.</p></div><div type="abstract" xml:lang="en"><p><b>CASE DESCRIPTION</b></p><p>A 41-year-old man had undergone cervical laminoplasty for ossification of the posterior longitudinal ligament and thoracic laminectomy for ossification of the posterior longitudinal ligament and ossification of the ligamentum flavum in the prone position. The entire surgery was recorded with video imaging. Before cardiac arrest due to the massive VAE, visible air bubbling had been observed at the operated site of the thoracic laminectomy, and this phenomenon had been incidentally recorded with the video. The patient recovered with cardiopulmonary resuscitation and intensive treatment against severe acute respiratory distress syndrome due to pulmonary damage.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The present case report offers the first video imaging evidence of intraoperative visible air bubbling as a sign of a massive VAE during prone-position spine surgery. To the best of our knowledge, this is also the first report of intraoperative VAE in a patient with extensive ossification of the spinal ligaments.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31369880</PMID><DateCompleted><Year>2020</Year><Month>01</Month><Day>28</Day></DateCompleted><DateRevised><Year>2020</Year><Month>01</Month><Day>28</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-8769</ISSN><JournalIssue CitedMedium="Internet"><Volume>131</Volume><PubDate><Year>2019</Year><Month>Nov</Month></PubDate></JournalIssue><Title>World neurosurgery</Title></Journal><ArticleTitle>Intraoperative Visible Air Bubbling Recorded as a Sign of Massive Venous Air Embolism During Prone Position Surgery for Extensive Ossification of Spinal Ligaments: A Case Report with a Video Clip.</ArticleTitle><Pagination><MedlinePgn>38-42</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1878-8750(19)32082-0</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.wneu.2019.07.166</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Venous air embolism (VAE) is a rare but, frequently, fatal complication that can occur during surgery. Several reported studies have shown visible bubbling of air at the surgical site as the first clinical indication of VAE-induced cardiovascular collapse during prone-position spine surgery. However, to the best of our knowledge, video imaging of this phenomenon has not been previously reported.</AbstractText><AbstractText Label="CASE DESCRIPTION" NlmCategory="METHODS">A 41-year-old man had undergone cervical laminoplasty for ossification of the posterior longitudinal ligament and thoracic laminectomy for ossification of the posterior longitudinal ligament and ossification of the ligamentum flavum in the prone position. The entire surgery was recorded with video imaging. Before cardiac arrest due to the massive VAE, visible air bubbling had been observed at the operated site of the thoracic laminectomy, and this phenomenon had been incidentally recorded with the video. The patient recovered with cardiopulmonary resuscitation and intensive treatment against severe acute respiratory distress syndrome due to pulmonary damage.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The present case report offers the first video imaging evidence of intraoperative visible air bubbling as a sign of a massive VAE during prone-position spine surgery. To the best of our knowledge, this is also the first report of intraoperative VAE in a patient with extensive ossification of the spinal ligaments.</AbstractText><CopyrightInformation>Copyright © 2019 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Miyakoshi</LastName><ForeName>Naohisa</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan. Electronic address: miyakosh@doc.med.akita-u.ac.jp.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hongo</LastName><ForeName>Michio</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kasukawa</LastName><ForeName>Yuji</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ishikawa</LastName><ForeName>Yoshinori</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kudo</LastName><ForeName>Daisuke</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shimada</LastName><ForeName>Yoichi</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D059040">Video-Audio Media</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>07</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>World Neurosurg</MedlineTA><NlmUniqueID>101528275</NlmUniqueID><ISSNLinking>1878-8750</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016887" MajorTopicYN="N">Cardiopulmonary Resuscitation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002574" MajorTopicYN="N">Cervical Vertebrae</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004618" MajorTopicYN="N">Embolism, Air</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006323" MajorTopicYN="N">Heart Arrest</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007431" MajorTopicYN="Y">Intraoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017843" MajorTopicYN="N">Ligamentum Flavum</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017887" MajorTopicYN="N">Ossification of Posterior Longitudinal Ligament</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009999" MajorTopicYN="N">Ossification, Heterotopic</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016684" MajorTopicYN="Y">Prone Position</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012128" MajorTopicYN="N">Respiratory Distress Syndrome, Adult</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013904" MajorTopicYN="N">Thoracic Vertebrae</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014057" MajorTopicYN="N">Tomography, X-Ray Computed</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Intraoperative visible air bubbling</Keyword><Keyword MajorTopicYN="N">Ossification of ligamentum flavum</Keyword><Keyword MajorTopicYN="N">Ossification of posterior longitudinal ligament</Keyword><Keyword MajorTopicYN="N">Prone position</Keyword><Keyword MajorTopicYN="N">Venous air embolism</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>06</Month><Day>13</Day></PubMedPubDate><PubMedPubDate 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sortKey="Hongo, Michio" sort="Hongo, Michio" uniqKey="Hongo M" first="Michio" last="Hongo">Michio Hongo</name><name sortKey="Ishikawa, Yoshinori" sort="Ishikawa, Yoshinori" uniqKey="Ishikawa Y" first="Yoshinori" last="Ishikawa">Yoshinori Ishikawa</name><name sortKey="Kasukawa, Yuji" sort="Kasukawa, Yuji" uniqKey="Kasukawa Y" first="Yuji" last="Kasukawa">Yuji Kasukawa</name><name sortKey="Kudo, Daisuke" sort="Kudo, Daisuke" uniqKey="Kudo D" first="Daisuke" last="Kudo">Daisuke Kudo</name><name sortKey="Shimada, Yoichi" sort="Shimada, Yoichi" uniqKey="Shimada Y" first="Yoichi" last="Shimada">Yoichi Shimada</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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