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‘Bubbles in the brain’: systemic air embolism syndrome from an atrial-oesophageal fistula
  1. C Cereda1,
  2. C Staedler1,
  3. G Moschovitis2,
  4. F Caronni3,
  5. C L Bassetti1,
  6. A Azzola3
  1. 1Neurocenter (EOC) of Southern Switzerland, Ospedale Civico, Lugano, Switzerland
  2. 2Department of Cardiology, Ospedale Civico, Lugano, Switzerland
  3. 3Intensive Care Unit, Ospedale Civico, Lugano, Switzerland
  1. Correspondence toDr Carlo Cereda, Neurocenter (EOC) of Southern Switzerland, Ospedale Civico, Lugano, Via Tesserete 46, Lugano CH-6900, Switzerland; carlo.cereda{at}

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A 44-year-old man was referred with fever, dysphagia, oppressive thoracic pain and a transient right hemiparesis. He had a recent history of oesophageal carcinoma which had been treated with chemotherapy. The patient had no cardiovascular risk factors and no history of coronary …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; not externally peer reviewed.