Case Report
 
Air bubble in the heart: An unrecognized complication of IV contrast injector
Carlos Gonzalez1, Dioben Aquino2, Balavenkatesh Kanna3
1MD: PGY-2 Internal Medicine, Lincoln Medical and Mental Health Center of Weill, NY.
2MD: PGY-3 Internal Medicine, Lincoln Medical and Mental Health Center of Weill, NY.
3MD, MPH: Attending physician, associated program director, Department of Internal Medicine, Lincoln Medical and Mental Health Center of Weill, NY.

doi:10.5348/ijcri-2013-12-424-CR-18

Address correspondence to:
Carlos Gonzalez
MD, Department of Internal Medicine
Lincoln Medical and Mental Health Center
234 E. 149th St #8-32, Bronx, NY 10451
USA
Phone: 7185794739-9172665705
Fax: 7185794836
Email: carlosgonzalez0521@yahoo.com, carlos.gonzalez.lengua@nychhc.org

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How to cite this article:
Gonzalez C, Aquino D, Kanna B. Air bubble in the heart: An unrecognized complication of IV contrast injector. International Journal of Case Reports and Images 2013;4(12):739–741.


Abstract
Introduction: Venous air embolism is a predominantly iatrogenic complication that occurs when atmospheric gas is introduced into the systemic venous system. The incidence of venous air embolism associated with the injection of contrast for computed tomography scan reportedly is 11–23%. Yet, most patients are asymptomatic, it can be fatal if the amount of air is enough to cause hemodynamic instability.
Case Report: We report a case of a 20-year-old female patient who presented with air bubbles in the right ventricle after an IV contrast computed tomography of the abdomen. Venous air embolism is a potential complication after an IV contrast injection.
Conclusion: We conclude that is imperative that clinicians pay special attention to the prevention, association, and early recognition of venous air embolism when performing imagines studies with IV contrast.

Keywords: Venous air embolism, Intravenous contrast injector


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Author Contributions
Carlos Gonzalez – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Dioben Aquino – Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Balavenkatesh Kanna – Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Carlos Gonzalez et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)