Fatal pulmonary embolism caused by thrombosis of contralateral axillary vein after arthroscopic right rotator cuff repair: A case report / 대한마취과학회지

A clinically apparent thromboembolism associated with arthroscopic shoulder surgery is extremely rare. We report a case of a fatal pulmonary embolism developed after an arthroscopic rotator cuff repair in a 45-year-old woman. On the first day after surgery, she experienced syncope that was complicated by cardiac arrest. No hemostasis impairment was noted. A computed tomography scan revealed a pulmonary embolism, and Doppler ultrasound revealed thrombosis of the axillary vein on the contralateral shoulder. She died from multiple organ failure 13 days after surgery. This case shows that clinicians must be aware of the potential occurrence of a pulmonary thromboembolism in patients undergoing prolonged arthroscopic shoulder surgery.

Inferior vena cave filter placement: Summary of 96 Cases / 介入放射学杂志

Objective To investigate the effects of filter placement for inferior vena cava in prevention of fatal pulmonary embolism(PE)and the treatment of postoperative complications. Methods Inferior vena cava filters were placed in 96 patients by the way of femoral vein. Results All the patients were followed up for 4 - 36 months after the procedure without fatal pulmonary embolism occurrance in the 96 patients, but with only 17 correlated complications. Conclusion Inferior vena cava filter placement is easy and safe which can prevent the high complication incidence of fatal pulmonary arterial embolism with further more effective prevention and management of other correlative complications.