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Ultrasound Corner |

Two Patients With Hypotension and Respiratory Distress

Michael H. Bourne, Jr., MD; Hiroshi Sekiguchi, MD
Author and Funding Information

FUNDING/SUPPORT: The authors have reported to CHEST that no funding was received for this study.

aDepartment of Internal Medicine, Mayo Clinic, Rochester, MN

bDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN

CORRESPONDENCE TO: Hiroshi Sekiguchi, MD, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(2):e41-e43. doi:10.1016/j.chest.2015.12.009
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Extract

Question (Patient 1): Based on these images, the history, and temporal differences in the CCUS findings, what is the most likely explanation for the particulate matter in the inferior vena cava (IVC) and the cardiac chambers?

Question (Patient 2): Based on these images and history, what is the most likely explanation for the particulate matter in the IVC and the cardiac chambers?

Answer (Patient 1): Subclinical venous air embolism.

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