Document Detail

Unexpected complication of massive intraoperative pulmonary embolism following elective sigmoidectomy in the supine position.
MedLine Citation:
PMID:  18500618     Owner:  NLM     Status:  MEDLINE    
We describe a case of massive intraoperative pulmonary thromboembolism during elective sigmoidectomy in the supine position. During recovery from anesthesia, the patient developed hemodynamic compromise and severe hypoxemia. Intravenous inotropes and mechanical ventilation were instituted. The abrupt onset of symptoms and the pulmonary artery catheter, chest radiograph, and transesophageal echocardiography findings suggested massive pulmonary thromboembolism as a possible cause of the hemodynamic compromise and hypoxemia. Emergent angiography could not be carried out due to the patient's poor clinical status. Lack of experience in performing embolectomy, along with contraindication for thrombolysis, imposed the use of intravenous heparin and hemodynamic support as the only appropriate therapeutic modality. After 2 days' aggressive hemodynamic and ventilatory support, the patient had an uneventful course, and was discharged from the intensive care unit (ICU) 14 days later.
Ekaterini N Amaniti; Georgia G Tsaousi; Nektarios A Kteniadakis; Panagiota G Maidatsi; Dimitrios G Vasilakos
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-05-25
Journal Detail:
Title:  Journal of anesthesia     Volume:  22     ISSN:  0913-8668     ISO Abbreviation:  J Anesth     Publication Date:  2008  
Date Detail:
Created Date:  2008-05-26     Completed Date:  2008-10-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8905667     Medline TA:  J Anesth     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  177-81     Citation Subset:  IM    
Anesthesiology Department, AHEPA University Hospital, Thessaloniki, Greece.
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MeSH Terms
Anesthesia Recovery Period
Blood Gas Analysis
Follow-Up Studies
Intraoperative Complications*
Lung / radiography,  ultrasonography
Shock / etiology*
Sigmoid Neoplasms / surgery*
Supine Position
Thromboembolism / complications*
Treatment Outcome

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