Myocardial Ischemia-Associated Arterial Embolism Management from Pulmonary Cryotherapy.

Abstract

A 52-year-old male undergoing pulmonary lesion cryoablation developed transient intraprocedural and postprocedural hypotension, transient ST elevations on telemetry with associated bradyarrhythmia, and computed tomography imaging revealing arterial gas embolism within the left ventricle and aorta. Coordinated multidisciplinary efforts involving interventional radiology, anesthesiology, cardiology, critical care, and hyperbaric medicine were employed to ensure a successful recovery, alongside important management considerations aimed at minimizing adverse outcomes.