Catastrophic Pulmonary Embolism Despite Negative Ultrasonography for Deep Vein Thrombosis in the Patient after Posterior Thoracic Fusion Surgery

• 영문명: Catastrophic Pulmonary Embolism Despite Negative Ultrasonography for Deep Vein Thrombosis in the Patient after Posterior Thoracic Fusion Surgery
• 발행기관: 조선대학교 의학연구원
• 저자명: Ki Tae Jung Sang Hun Kim Hyo Sung Bae Jong Dal Jung
• 간행물 정보: 『The Medical Journal of Chosun University』제39권 제1호, 43~47쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.03.31

영문 초록

Fatal pulmonary embolism occurs in 0.1% to 0.26% of cases of spine fusion surgery. Early diagnosis of pulmonary embolism is difficult, and delay in treatment can lead to a fatal outcome. We report on a case of symptomatic pulmonary embolism which developed after induction of general anesthesia in a patient who had been immobile because of a previous spinal operation one week prior to this. Despite a negative preoperative ultrasound examination for deep vein thrombosis, the patient had developed a pulmonary embolism, which was diagnosed using intraoperative transesophageal echocardiography. Despite intensive cardiopulmonary resuscitation and thrombolytic therapy, the patient died within a few hours of diagnosis.

목차

Introduction

Case report

Discussion

키워드

Pulmonary embolism Spinal fusion Ultrasonography Venous thrombosis