Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 16, 2021; 9(32): 9911-9916
Published online Nov 16, 2021. doi: 10.12998/wjcc.v9.i32.9911
Cerebral air embolism complicating transbronchial lung biopsy: A case report
Vladimir Herout, Kristian Brat, Svatopluk Richter, Ivan Cundrle Jr
Vladimir Herout, Kristian Brat, Department of Respiratory Diseases, University Hospital Brno, Brno 62500, Czech Republic
Vladimir Herout, Kristian Brat, Department of Respiratory Diseases, Faculty of Medicine, Masaryk University, Brno 62500, Czech Republic
Kristian Brat, Ivan Cundrle Jr, International Clinical Research Center, Brno 60200, Czech Republic
Svatopluk Richter, Department of Radiology and Nuclear Medicine, University Hospital Brno, Brno 62500, Czech Republic
Ivan Cundrle Jr, Department of Anesthesiology and Intensive Care, St. Anne's University Hospital, Brno 60200, Czech Republic
Ivan Cundrle Jr, Department of Anesthesiology and Intensive Care, Faculty of Medicine, Masaryk University, Brno 60200, Czech Republic
Author contributions: Herout V was patient’s bronchologist, reviewed the literature and contributed to manuscript drafting; Richter S analyzed and interpreted the imaging findings; Cundrle Jr I reviewed the literature and drafted the manuscript; Brat K was responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Supported by The publication has been supported by Ministry of Health of the Czech Republic, No. MH CZ-DRO FNBr 65269705; and The Czech Pneumological and Phthisiological Society (open access publication fee grant).
Informed consent statement: Written informed consent was obtained from the patient as part of consent with bronchoscopy procedure (including publication of his anonymized scientific data).
Conflict-of-interest statement: The authors declare no conflicts of interest in relation to the presented case report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kristian Brat, MD, PhD, Assistant Professor, Senior Scientist, Department of Respiratory Diseases, University Hospital Brno, Jihlavska 20, Brno 62500, Czech Republic. kristian.brat@seznam.cz
Received: June 9, 2021
Peer-review started: June 11, 2021
First decision: June 25, 2021
Revised: July 2, 2021
Accepted: September 8, 2021
Article in press: September 8, 2021
Published online: November 16, 2021
Core Tip

Core Tip: Cerebral air embolism is an extremely rare complication of transbronchial lung biopsy. This condition should be considered in case the patient remains unresponsive or presents with acute neurological symptoms in the post-intervention period since early recognition, diagnosis and hyperbaric oxygen therapy initiation are key factors determining the patient´s outcome.