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Background <p>Coronary air embolism is a rare but severe complication of coronary interventions.</p> Case presentation <p>We present a case of a massive air embolism in the right coronary artery during percutaneous coronary intervention, resulting in ventricular fibrillation. The patient was successfully resuscitated with electric defibrillation, leading to full recovery and TIMI 3 coronary flow. The final fractional flow reserve showed no residual coronary microvascular dysfunction.</p> Conclusion <p>Our finding suggests that inducing strong myocardial contractions with a cardioverter defibrillator may effectively disperse large air emboli and restore coronary circulation.</p>

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Ventricular fibrillation caused by massive right coronary air embolism: a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年1月6日

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  • Hongcai Zhang,
  • Ai-ling Huang,
  • Qian Nie,
  • Haseeb Sattar,
  • Xie Wen

摘要

Background

Coronary air embolism is a rare but severe complication of coronary interventions.

Case presentation

We present a case of a massive air embolism in the right coronary artery during percutaneous coronary intervention, resulting in ventricular fibrillation. The patient was successfully resuscitated with electric defibrillation, leading to full recovery and TIMI 3 coronary flow. The final fractional flow reserve showed no residual coronary microvascular dysfunction.

Conclusion

Our finding suggests that inducing strong myocardial contractions with a cardioverter defibrillator may effectively disperse large air emboli and restore coronary circulation.