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Successful Treatment of Accidental Air Embolism in Warm Heart Surgery

¹ Bristol Heart Institute, University of Bristol, Bristol, UK
² Caribbean Heart Care, Port of Spain, Trinidad and Tobago

For reprint information contact: Walter J Gomes, MD Tel: 55 11 5576 4055 Fax: 55 11 5571 2719 email: wjgomes.dcir{at}epm.br Cardiovascular Surgery Discipline, Escola Paulista de Medicina, Federal University of São Paulo, Rua Botucatu, 740 São Paulo, SP 04023-900, Brazil.

Normothermic cardiopulmonary bypass has recently been proposed as a superior technique for maintaining body metabolism. However, its use remains controversial since the degree of cerebral protection provided might be inferior to that conferred by conventional hypothermic techniques. We report a case of accidental massive air embolism during coronary artery bypass surgery under normothermia, which was successfully managed with induced hypothermia at 20°C and retrograde cerebral perfusion.