Cerebral air embolism as a cause of stroke during cardiac catherization

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Abstract
Case report. A 65-year-old man with an acute anterior myocardial infarction was treated with IV tissue plasminogen activator, nitroglycerine, lopressor, aspirin, and heparin prior to transfer to our hospital. Two days later he underwent cardiac catheterization. The catheter was advanced into the ascending aorta over a 0.089-cm guide wire in standard fashion, attached to the manifold with a fluid-to-fluid connection, aspirated and flushed, and then advanced into the left ventricle, when the patient became unresponsive with his eyes deviated to …