{"id":"https://openalex.org/W7223196703","doi":"https://doi.org/10.1093/jscr/rjag955","title":"Cerebral air embolism during commercial air travel due to a giant pulmonary bulla","display_name":"Cerebral air embolism during commercial air travel due to a giant pulmonary bulla","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7223196703","doi":"https://doi.org/10.1093/jscr/rjag955","pmid":"https://pubmed.ncbi.nlm.nih.gov/42984720","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13731788"},"language":"en","primary_location":{"id":"doi:10.1093/jscr/rjag955","doi":"https://doi.org/10.1093/jscr/rjag955","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jscr/rjag955","pdf_url":"https://academic.oup.com/jscr/article-pdf/2026/10/rjag955/72371462/rjag955.pdf","source":{"id":"https://openalex.org/S4210198593","display_name":"Journal of Surgical Case Reports","issn_l":"2042-8812","issn":["2042-8812"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Surgical Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/jscr/article-pdf/2026/10/rjag955/72371462/rjag955.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5007196919","display_name":"Jeevan Francis","orcid":"https://orcid.org/0000-0002-8017-8727","observed_orcids":["https://orcid.org/0000-0002-8017-8727"]},"institutions":[{"id":"https://openalex.org/I183935753","display_name":"King's College London","ror":"https://ror.org/0220mzb33","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I183935753"]},{"id":"https://openalex.org/I2800600548","display_name":"Aberdeen Royal Infirmary","ror":"https://ror.org/02q49af68","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800600548","https://openalex.org/I4210093322"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Jeevan Francis","raw_affiliation_strings":["Department of Cardiothoracic Surgery, Aberdeen Royal Infirmary , Foresterhill Road, Aberdeen AB25 2ZN ,","Faculty of Medicine, King\u2019s College London , London ,"],"raw_orcid":"https://orcid.org/0000-0002-8017-8727","affiliations":[{"raw_affiliation_string":"Department of Cardiothoracic Surgery, Aberdeen Royal Infirmary , Foresterhill Road, Aberdeen AB25 2ZN ,","institution_ids":["https://openalex.org/I2800600548"]},{"raw_affiliation_string":"Faculty of Medicine, King\u2019s College London , London ,","institution_ids":["https://openalex.org/I183935753"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159279584","display_name":"Saima Azam","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800600548","display_name":"Aberdeen Royal Infirmary","ror":"https://ror.org/02q49af68","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800600548","https://openalex.org/I4210093322"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Saima Azam","raw_affiliation_strings":["Department of Cardiothoracic Surgery, Aberdeen Royal Infirmary , Foresterhill Road, Aberdeen AB25 2ZN ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiothoracic Surgery, Aberdeen Royal Infirmary , Foresterhill Road, Aberdeen AB25 2ZN ,","institution_ids":["https://openalex.org/I2800600548"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102150757","display_name":"Mohammed Wesam Khalil","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800600548","display_name":"Aberdeen Royal Infirmary","ror":"https://ror.org/02q49af68","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800600548","https://openalex.org/I4210093322"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Mohammed Wesam Khalil","raw_affiliation_strings":["Department of Cardiothoracic Surgery, Aberdeen Royal Infirmary , Foresterhill Road, Aberdeen AB25 2ZN ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiothoracic Surgery, Aberdeen Royal Infirmary , Foresterhill Road, Aberdeen AB25 2ZN ,","institution_ids":["https://openalex.org/I2800600548"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5057294468","display_name":"Keith Buchan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800600548","display_name":"Aberdeen Royal Infirmary","ror":"https://ror.org/02q49af68","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800600548","https://openalex.org/I4210093322"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Keith Buchan","raw_affiliation_strings":["Department of Cardiothoracic Surgery, Aberdeen Royal Infirmary , Foresterhill Road, Aberdeen AB25 2ZN ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiothoracic Surgery, Aberdeen Royal Infirmary , Foresterhill Road, Aberdeen AB25 2ZN ,","institution_ids":["https://openalex.org/I2800600548"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5007196919"],"corresponding_institution_ids":["https://openalex.org/I183935753","https://openalex.org/I2800600548"],"apc_list":{"value":1000,"currency":"USD","value_usd":1000},"apc_paid":{"value":1000,"currency":"USD","value_usd":1000},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.8204277,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"2026","issue":"10","first_page":"rjag955","last_page":"rjag955"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11579","display_name":"Cardiovascular and Diving-Related Complications","score":0.9878000020980835,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11579","display_name":"Cardiovascular and Diving-Related Complications","score":0.9878000020980835,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12818","display_name":"Pneumothorax, Barotrauma, Emphysema","score":0.009499999694526196,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11968","display_name":"High Altitude and Hypoxia","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cerebral-air-embolism","display_name":"cerebral air embolism","score":0.9990000128746033},{"id":"https://openalex.org/keywords/pulmonary-bulla","display_name":"pulmonary bullae","score":0.9639999866485596},{"id":"https://openalex.org/keywords/cabin-pressure","display_name":"cabin pressure","score":0.5379999876022339},{"id":"https://openalex.org/keywords/pulmonary-barotrauma","display_name":"pulmonary barotrauma","score":0.9190000295639038},{"id":"https://openalex.org/keywords/bulla-resection","display_name":"bulla resection","score":0.7080000042915344},{"id":"https://openalex.org/keywords/hemiparesis","display_name":"hemiparesis","score":0.7749999761581421},{"id":"https://openalex.org/keywords/loss-of-consciousness","display_name":"loss of consciousness","score":0.5189999938011169}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9186999797821045},{"id":"https://openalex.org/C2779806549","wikidata":"https://www.wikidata.org/wiki/Q1367304","display_name":"Air embolism","level":3,"score":0.8682000041007996},{"id":"https://openalex.org/C2985550459","wikidata":"https://www.wikidata.org/wiki/Q376880","display_name":"Air travel","level":3,"score":0.5062999725341797},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4855000078678131},{"id":"https://openalex.org/C2909822954","wikidata":"https://www.wikidata.org/wiki/Q275466","display_name":"Intracranial Embolism","level":3,"score":0.45320001244544983},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.4453999996185303},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.435699999332428},{"id":"https://openalex.org/C2776265017","wikidata":"https://www.wikidata.org/wiki/Q220570","display_name":"Pulmonary embolism","level":2,"score":0.4348999857902527},{"id":"https://openalex.org/C544519230","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomography","level":2,"score":0.42410001158714294},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.4041000008583069},{"id":"https://openalex.org/C2776882386","wikidata":"https://www.wikidata.org/wiki/Q2291130","display_name":"Hemiparesis","level":3,"score":0.37950000166893005},{"id":"https://openalex.org/C2777185221","wikidata":"https://www.wikidata.org/wiki/Q275466","display_name":"Embolism","level":2,"score":0.3555000126361847},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.3334999978542328},{"id":"https://openalex.org/C2780954326","wikidata":"https://www.wikidata.org/wiki/Q1416096","display_name":"Intracranial pressure","level":2,"score":0.3179999887943268},{"id":"https://openalex.org/C2777975874","wikidata":"https://www.wikidata.org/wiki/Q2920572","display_name":"Head injury","level":2,"score":0.3009999990463257},{"id":"https://openalex.org/C2775844698","wikidata":"https://www.wikidata.org/wiki/Q2100002","display_name":"Pneumocephalus","level":3,"score":0.2985000014305115},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.2759999930858612},{"id":"https://openalex.org/C2776370487","wikidata":"https://www.wikidata.org/wiki/Q1144593","display_name":"Sitting","level":2,"score":0.2517000138759613}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1093/jscr/rjag955","doi":"https://doi.org/10.1093/jscr/rjag955","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jscr/rjag955","pdf_url":"https://academic.oup.com/jscr/article-pdf/2026/10/rjag955/72371462/rjag955.pdf","source":{"id":"https://openalex.org/S4210198593","display_name":"Journal of Surgical Case Reports","issn_l":"2042-8812","issn":["2042-8812"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Surgical Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13731788","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13731788/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13731788/pdf/rjag955.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Surg Case Rep","raw_type":"Text"},{"id":"pmid:42984720","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42984720","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of surgical case reports","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.1093/jscr/rjag955","doi":"https://doi.org/10.1093/jscr/rjag955","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jscr/rjag955","pdf_url":"https://academic.oup.com/jscr/article-pdf/2026/10/rjag955/72371462/rjag955.pdf","source":{"id":"https://openalex.org/S4210198593","display_name":"Journal of Surgical Case Reports","issn_l":"2042-8812","issn":["2042-8812"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Surgical Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9763000011444092,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223196703.pdf","grobid_xml":"https://content.openalex.org/works/W7223196703.grobid-xml"},"referenced_works_count":7,"referenced_works":["https://openalex.org/W2007911528","https://openalex.org/W2025215663","https://openalex.org/W2056974316","https://openalex.org/W2755399337","https://openalex.org/W2953626354","https://openalex.org/W4214691157","https://openalex.org/W4249919416"],"related_works":["https://openalex.org/W4282027285","https://openalex.org/W2625953829","https://openalex.org/W2074773537","https://openalex.org/W2332336740","https://openalex.org/W2755399337","https://openalex.org/W2007911528","https://openalex.org/W1991160136","https://openalex.org/W4399310304","https://openalex.org/W2472436164","https://openalex.org/W2989628317"],"abstract_inverted_index":{"Cerebral":[0,127],"air":[1,11,60,71,122,128],"embolism":[2,129],"is":[3],"a":[4,34,77,114],"rare":[5],"but":[6],"potentially":[7],"catastrophic":[8],"complication":[9],"of":[10,56,93,113,121],"travel":[12],"in":[13,62,102],"patients":[14],"with":[15,68,84],"pulmonary":[16,115,117],"bullae":[17],"or":[18,139],"other":[19],"air-containing":[20],"intrathoracic":[21],"lesions.":[22],"A":[23],"59-year-old":[24],"man":[25],"lost":[26],"consciousness":[27],"approximately":[28],"20":[29],"min":[30],"after":[31,141],"take-off":[32],"on":[33],"commercial":[35],"flight.":[36],"The":[37],"aircraft":[38,142],"immediately":[39],"descended":[40],"and":[41,89,119],"returned":[42],"to":[43],"its":[44],"departure":[45],"airport,":[46],"where":[47],"he":[48],"was":[49],"transferred":[50],"for":[51],"emergency":[52],"assessment.":[53],"Computed":[54],"tomography":[55],"the":[57,94,100,124],"head":[58],"demonstrated":[59],"bubbles":[61],"several":[63],"intracranial":[64],"cerebral":[65,69],"arteries":[66],"consistent":[67],"arterial":[70],"embolism,":[72],"while":[73],"thoracic":[74],"imaging":[75],"identified":[76],"giant":[78],"right":[79],"upper-lobe":[80],"bulla.":[81,95],"He":[82],"recovered":[83],"mild":[85],"persistent":[86],"right-sided":[87],"hemiparesis":[88],"subsequently":[90],"underwent":[91],"resection":[92],"This":[96],"case":[97],"demonstrates":[98],"how":[99],"reduction":[101],"cabin":[103],"pressure":[104],"during":[105,138],"an":[106],"otherwise":[107],"routine":[108],"flight":[109],"may":[110],"cause":[111],"expansion":[112],"bulla,":[116],"barotrauma":[118],"entry":[120],"into":[123],"systemic":[125],"circulation.":[126],"should":[130],"be":[131],"considered":[132],"when":[133],"abrupt":[134],"neurological":[135],"symptoms":[136],"occur":[137],"shortly":[140],"ascent.":[143]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-10-23T00:00:00"}