A case report of onyx pulmonary arterial embolism contributing to hypoxemia during awake craniotomy for arteriovenous malformation resection
作者： Brian T. Tolly , Jenna L. Kosky , Antoun Koht , Laura B. Hemmer
DOI: 10.1213/XAA.0000000000000436
关键词:
摘要: A healthy 26-year-old man with cerebral arteriovenous malformation underwent staged endovascular embolization Onyx followed by awake craniotomy for resection. The perioperative course was complicated tachycardia and severe intraoperative hypoxemia requiring significant oxygen supplementation. Postoperative chest computed tomography (CT) revealed hyperattenuating material within the pulmonary vasculature, an electrocardiogram indicated possible right heart strain, supporting clinically embolism. With resection following adjunctive becoming increasingly employed lesions involving eloquent cortex, anesthesiologists need to be aware of migration as a potential contributor hypoxemia.
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