Acute Massive Pulmonary Embolism Diagnosed by Transthoracic and Transesophageal Echocardiography during the Nephrectomy in the Renal Cancer Patient: A case report
- Affiliations
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- 1Department of Anesthesiology, Soonchunhyang University Hospital, Seoul, Korea.
- 2Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.
Abstract
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Massive intraoperative pulmonary embolism (PE) is a fatal complication. However, the diagnosis of PE is difficult because clinical symptoms and signs are nonspecific, and specialized diagnostic facilities are not readily available in the operating room. We report a case of cardiac arrest due to a massive PE diagnosed by transthoracic and transesophageal Echocardiography during a nephrectomy in patient with renal cancer. This case demonstrates the great value of echocardiography in the diagnosis of an intraoperative massive pulmonary embolism.