A fatal case of pulmonary embolism after lumbar spine surgery

Computed tomography angiography of the chest revealed a clot in the left main pulmonary artery, occluding nearly 50% of the lumen with smaller clots visible in inferior branch of the right pulmonary artery [Figure 2]a and [Figure 2]b. After excluding other differential diagnoses and confirmation of...

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Bibliographic Details
Published in:Indian journal of anaesthesia 2017-03, Vol.61 (3), p.273-275, Article 273
Main Authors: Tomar, Gaurav Singh, Banik, Sujoy, Mitra, Ranadhir, Chouhan, Rajendra Singh
Format: Article
Language:English
Subjects:
Catheters
Conflicts of interest
Embolisms
Health risk assessment
Letter To Editor
Patients
Pulmonary arteries
Surgery
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Summary:Computed tomography angiography of the chest revealed a clot in the left main pulmonary artery, occluding nearly 50% of the lumen with smaller clots visible in inferior branch of the right pulmonary artery [Figure 2]a and [Figure 2]b. After excluding other differential diagnoses and confirmation of pulmonary embolism (PE) diagnosis, the patient was administered streptokinase 250,000 units over 30 min, followed by 100,000 units/h infusion for next 12 h. However, catheter-directed thrombolysis was not done due to unavailability of logistic support in emergency night hours. [4] If not diagnosed and treated in an expeditious manner, a PTE can be a fatal condition. [...]we reiterate the importance of pre-operative screening and workup for at-risk patients of DVT or PTE.
ISSN:0019-5049
0976-2817
DOI:10.4103/0019-5049.202176