Korean J Anesthesiol.  2010 Dec;59(Suppl):S172-S175. 10.4097/kjae.2010.59.S.S172.

Fatal pulmonary embolism caused by thrombosis of contralateral axillary vein after arthroscopic right rotator cuff repair: A case report

• Kim SJ
• Yoo KY
• Lee HG
• Kim WM
• Jeong CW
• Lee HJ

• KMID: 2237380
• DOI: http://doi.org/10.4097/kjae.2010.59.S.S172

Abstract

A clinically apparent thromboembolism associated with arthroscopic shoulder surgery is extremely rare. We report a case of a fatal pulmonary embolism developed after an arthroscopic rotator cuff repair in a 45-year-old woman. On the first day after surgery, she experienced syncope that was complicated by cardiac arrest. No hemostasis impairment was noted. A computed tomography scan revealed a pulmonary embolism, and Doppler ultrasound revealed thrombosis of the axillary vein on the contralateral shoulder. She died from multiple organ failure 13 days after surgery. This case shows that clinicians must be aware of the potential occurrence of a pulmonary thromboembolism in patients undergoing prolonged arthroscopic shoulder surgery.

Keyword

Deep venous thrombosis; Fatal pulmonary embolism; Rotator cuff repair; Shoulder arthroscopy

MeSH Terms

Axillary Vein
Female
Heart Arrest
Hemostasis
Humans
Middle Aged
Multiple Organ Failure
Pulmonary Embolism
Rotator Cuff
Shoulder
Syncope
Thromboembolism
Thrombosis
Venous Thrombosis