EURORAD ESR

Case 15464

Fatal complication of intrapleural fibrinolysis: massive air embolism

Author(s)
Loretta Calderan, MD, Roberta Antea Pozzi-Mucelli, MD, Rossella Delle Donne, Manuel Gianvalerio Belgrano MD, Maria Assunta Cova, MD

U.C.O. di Radiologia,
Radiologia; Str. di Fiume
447 34149 Trieste, Italy;
Email:roberta.pozzimucelli@gmail.com
 
Patient
male, 72 year(s)
 
 
  • Figure 1
    Brain CT angiography
     

    Axial MinIP reconstruction well demonstrates discrete presence of air in peripheral cerebral vessels

     
    Area of Interest: Head and neck; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Coronal MinIP reconstruction well demonstrates discrete presence of air in peripheral cerebral vessels

     
    Area of Interest: Head and neck; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Sagittal MinIP reconstruction well demonstrates discrete presence of air in peripheral cerebral vessels

     
    Area of Interest: Head and neck; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    3D reconstruction (where air appears blue) well demonstrates discrete presence of air in peripheral cerebral vessels

     
    Area of Interest: Head and neck; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 2
    Thoracic CT angiography
     

    Axial MinIP reconstruction demonstrates coronary arteries full of air

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Coronal MinIP reconstruction demonstrates coronary arteries full of air

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Sagittal MinIP reconstruction demonstrates coronary arteries full of air

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    3D reconstruction (where air appears blue) demonstrates coronary arteries full of air

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 3
    Chest CT

    Axial CT shows air at the origin of the ascending aorta (*). It also shows the pleural cavity with pleuric mesothelioma

     
    Area of Interest: Thorax; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 4
    Chest CT

    Coronal CT better demonstrates the presence of air in the ascending aorta (*) and in the left ventricle (C)

     
    Area of Interest: Thorax; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
Axial MinIP reconstruction well demonstrates discrete presence of air in peripheral cerebral vessels
 
Coronal MinIP reconstruction well demonstrates discrete presence of air in peripheral cerebral vessels
 
Sagittal MinIP reconstruction well demonstrates discrete presence of air in peripheral cerebral vessels
 
3D reconstruction (where air appears blue) well demonstrates discrete presence of air in peripheral cerebral vessels
 
Axial MinIP reconstruction demonstrates coronary arteries full of air
 
Coronal MinIP reconstruction demonstrates coronary arteries full of air
 
Sagittal MinIP reconstruction demonstrates coronary arteries full of air
 
3D reconstruction (where air appears blue) demonstrates coronary arteries full of air
 
Axial CT shows air at the origin of the ascending aorta (*). It also shows the pleural cavity with pleuric mesothelioma
 
Coronal CT better demonstrates the presence of air in the ascending aorta (*) and in the left ventricle (C)
 
 
 
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