Karnataka Anaesthesia Journal

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Early Detection of Pulmonary Thromboemboli during Nephrectomy Using Transesophageal Echocardiography


Affiliations
1 Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences
2 Medical Education Department, School of Medical Education Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of
 

Early detection and management of pulmonary embolism would ameliorate survival chances. Here, we report the case of a patient who was scheduled for a renal carcinoma and inferior vena cava thrombectomy wherein suddenly the thrombus migrated to the pulmonary artery. The problem was rapidly recognized by transesophageal echocardiography and before a fatal hemodynamic instability cardiopulmonary bypass was instituted and the thrombosis was extracted. The patient was discharged a week after the surgery without any complication.

Keywords

Nephrectomy, pulmonary emboli, transesophageal echocardiography
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  • Early Detection of Pulmonary Thromboemboli during Nephrectomy Using Transesophageal Echocardiography

Abstract Views: 132  |  PDF Views: 88

Authors

Mehrdad Salehi
Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences
Kianoush Saberi
Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences
Mehrzad Rahmanian
Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences
R. Ali
Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences
Bakhshandeh
Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences
Shahnaz Sharifi
Medical Education Department, School of Medical Education Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of
Roya Sattarzadeh
Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences
Anahita Tavoosi
Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences

Abstract


Early detection and management of pulmonary embolism would ameliorate survival chances. Here, we report the case of a patient who was scheduled for a renal carcinoma and inferior vena cava thrombectomy wherein suddenly the thrombus migrated to the pulmonary artery. The problem was rapidly recognized by transesophageal echocardiography and before a fatal hemodynamic instability cardiopulmonary bypass was instituted and the thrombosis was extracted. The patient was discharged a week after the surgery without any complication.

Keywords


Nephrectomy, pulmonary emboli, transesophageal echocardiography