{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:49:52Z","timestamp":1753876192213,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T00:00:00Z","timestamp":1694390400000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Wilma Beswick Senior Research Fellowship"},{"DOI":"10.13039\/501100001782","name":"Melbourne University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001782","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Air emboli are a life-threatening diagnosis, which may form through a range of mechanisms. In this case, we describe the case of extensive multi-territory air emboli in a patient with a history of intravenous drug abuse.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>This case describes a 41-year-old male who presented with confusion following fall with long lie. He was diagnosed with hyperkalaemia, renal failure, rhabdomyolysis, and compartment syndrome, and he developed extensive multi-territory air emboli. Air embolism was identified in arterial, venous, subcutaneous, and mediastinal territories. Echocardiography demonstrated right ventricular dilation and dysfunction, consistent with air visualized in the right coronary artery on computed tomography. The patient was transferred to the intensive care unit for close cardiac and neurological monitoring and supportive organ care, and ultimately made an uneventful recovery by 6 weeks without apparent complications from the air emboli.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The presence of multi-territory air emboli has previously been described in the setting of surgery, manipulation of intravascular catheters, pulmonary barotrauma, and in sepsis with gas-forming organisms. It has not previously been reported in intravenous drug use or sterile rhabdomyolysis. Computed tomography imaging and echocardiography are useful to diagnose air emboli and their haemodynamic impact. Our patient\u2019s case provides a novel example of multi-territory air emboli in a unique scenario.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytad460","type":"journal-article","created":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T02:56:43Z","timestamp":1694487403000},"source":"Crossref","is-referenced-by-count":0,"title":["Right ventricular pneumatosis and extensive multi-territory air emboli in an intravenous drug user: a case report"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2122-9889","authenticated-orcid":false,"given":"Elizabeth D","family":"Paratz","sequence":"first","affiliation":[{"name":"Baker Heart and Diabetes Institute , 75 Commercial Rd, Prahran, 3181 VIC , Australia"},{"name":"Faculty of Medicine, Dentistry and Health Sciences, Melbourne University , Grattan St, Parkville, 3000 VIC , Australia"},{"name":"Department of Cardiology, St Vincent\u2019s Hospital Melbourne , 41 Victoria Parade, Fitzroy, 3065 VIC , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kudzai","family":"Chamunorwa","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St Vincent\u2019s Hospital Melbourne , 41 Victoria Parade, Fitzroy, 3065 VIC , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Lanteri","sequence":"additional","affiliation":[{"name":"Department of General Medicine, St Vincent\u2019s Hospital Melbourne , 41 Victoria Parade, Fitzroy, 3065 VIC , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Chong-Halliday","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, St Vincent\u2019s Hospital Melbourne , 41 Victoria Parade, Fitzroy, 3065 VIC , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barry","family":"Dixon","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, St Vincent\u2019s Hospital 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