Acute Massive Pulmonary Thromboembolism Occurring during Femur Surgery: The Key Role of Transesophageal Echocardiography : A case report
Anesthesia and Pain Medicine
;
: 128-130, 2008.
Article
in Korean
| WPRIM
| ID: wpr-97165
ABSTRACT
We experienced a case, which showed the sudden drop of arterial oxygen saturation and capnographic score in a femur surgery patient under general anesthesia. We installed a transesophageal echocardiography probe in the patient and detected free-floating emboli in the right atrium, enlargement of the right atrium and the right ventricle, and global hypokinesia of the right ventricle. Because the patient's vital sign was so unstable, emergent cardiac and pulmonary embolectomy was performed with the use of cardiopulmonary bypass. The postoperative course was uneventful and the patient was discharged without any neurologic sequale. We concluded that transesophageal echocardiography was a useful device for the diagnosis of intraoperative massive pulmonary thromboembolism.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Pulmonary Embolism
/
Cardiopulmonary Bypass
/
Embolectomy
/
Echocardiography, Transesophageal
/
Hypokinesia
/
Vital Signs
/
Femur
/
Heart Atria
/
Heart Ventricles
Limits:
Humans
Language:
Korean
Journal:
Anesthesia and Pain Medicine
Year:
2008
Type:
Article
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