Korean J Anesthesiol.  1999 Dec;37(6):1153-1158. 10.4097/kjae.1999.37.6.1153.

Acute Massive Pulmonary Embolism Diagnosed by Transthoracic and Transesophageal Echocardiography during the Nephrectomy in the Renal Cancer Patient: A case report

Affiliations
  • 1Department of Anesthesiology, Soonchunhyang University Hospital, Seoul, Korea.
  • 2Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.

Abstract

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.

Keyword

Cancer, renal cancer; Complication, pulmonary embolism, intraoperative; Surgery, nephrectomy

MeSH Terms

Diagnosis
Echocardiography
Echocardiography, Transesophageal*
Heart Arrest
Humans
Kidney Neoplasms*
Nephrectomy*
Operating Rooms
Pulmonary Embolism*
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