Paradoxical gas embolism by transpulmonary passage of venous emboli during hysteroscopic surgery: A case report and discussion

B. M.P. Rademaker, F. A. Groenman, P. A. Van Der Wouw, E. A. Bakkum

Research output: Contribution to journalArticleAcademicpeer-review

32 Citations (Scopus)


After an episode of apparent venous gas embolism in a patient undergoing surgical hysteroscopy, transoesophageal echocardiography revealed air in the left but not in the right heart. Contrast echocardiography failed to demonstrate anatomical right-to-left shunts, making it likely that venous emboli overwhelmed the capacity of lungs to filter emboli, resulting in paradoxical embolization.

Original languageEnglish
Pages (from-to)230-233
Number of pages4
JournalBritish Journal of Anaesthesia
Issue number2
Publication statusPublished - 1 Jan 2008


  • Complications, embolism
  • Endoscopy
  • Surgery, gynaecology

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