Successful Rescue without Sequelae after Intraoperative Pulmonary Thromboembolism during Gynecological Surgery

DOI
  • ITOH Kazushi
    Department of Anesthesiology, Saitama International Medical Center
  • NISHIBE Shinichi
    Department of Anesthesiology, Saitama International Medical Center
  • SEKIGUCHI Atsuhiro
    Department of Anesthesiology, Saitama International Medical Center
  • MIEDA Tsutomu
    Department of Anesthesiology, Saitama International Medical Center
  • TSUJITA Miki
    Department of Anesthesiology, Saitama International Medical Center
  • KITAMURA Akira
    Department of Anesthesiology, Saitama International Medical Center

Bibliographic Information

Other Title
  • 卵巣癌切除術中に肺血栓塞栓症を発症したが，迅速な対応で後遺症なく退院しえた1症例

Search this article

Abstract

While undergoing gynecological surgery, a 63-year-old woman developed pulmonary thromboembolism (PTE) characterized by the sudden and severe onset of desaturation, hypotension, and reduced end-tidal PaCO2. While stabilizing her hemodynamics, we simultaneously performed transesophageal echocardiography (TEE) and identified a thrombus in the right main pulmonary artery soon after the onset of symptoms. Contrast-enhanced CT, which was performed just after the operation, could not depict any thrombus. Her postoperative recovery was successful, and the patient was discharged without any sequelae. We could not have made a definitive diagnosis of PTE without the intraoperative TEE study. Hence, we emphasize the importance of the early performance of TEE to enable a precise diagnosis of intraoperative PTE.

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top