Journal Information
Vol. 49. Issue 2.
Pages 122-123 (February 2025)
Vol. 49. Issue 2.
Pages 122-123 (February 2025)
Images in Intensive Medicine
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Venous pulmonary embolism - A rare clinical case
Embolia pulmonar venosa - Un caso clínico raro
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Sérgio Pinaa,
Corresponding author
spina@chalgarve.min-saude.pt

Corresponding author.
, Pedro Alvesb, Andriy Krystopchuca
a Serviço de Medicina Intensiva 1, Unidade Local de Saúde do Algarve, Faro, Portugal
b Serviço de Radiologia, Unidade Local de Saúde do Algarve, Faro, Portugal
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A 72-year-old man, previously independent, was admitted to the emergency department following cardiorespiratory arrest. A chest computed tomography scan (CTS) was requested. During the exam, the patient experienced sudden hypotension (65/20&#¿;mmHg) and poor peripheral perfusion. The exam was suspended and a fluid bolus was administered, resulting in transient reversal of the condition. Gas was detected in the injection system, which was replaced, and the exam was repeated. The CTS revealed gas embolism with an air-fluid level in the main pulmonary artery (marked with an arrow in Fig. 1), right atrium and right ventricle (marked with an arrow in Fig. 2), as well as in the left upper lobar artery (marked with an arrow in Fig. 3). Due to the venous gas embolism, he was transferred for treatment at a hyperbaric medicine center.

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