Fatal bilateral lower-limb deep vein thrombosis and pulmonary embolism following single digit replantation

Venous thromboembolism in hand surgery is rare. There is no report in the literature on postoperative mortality from venous thromboembolism following microsurgery in upper limbs. We report the case of a 56-year-old Chinese man who died from pulmonary embolism as a result of bilateral lower-limb deep...

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Bibliographic Details
Published in:Hong Kong medical journal = Xianggang yi xue za zhi 2015-06, Vol.21 (3), p.283-285
Main Authors: Leung, Anderson S M, Fok, Margaret W M, Fung, Boris K K
Format: Article
Language:English
Subjects:
Amputation, Traumatic - surgery
Anticoagulants
Cardiac arrhythmia
Compression therapy
Consciousness
Disease prevention
Drug dosages
Fatal Outcome
Finger Injuries - surgery
Fractures
Humans
Joint replacement surgery
Leg
Male
Microsurgery
Middle Aged
Orthopedics
Patients
Pulmonary arteries
Pulmonary Embolism - etiology
Pulmonary embolisms
Replantation - adverse effects
Risk factors
Thromboembolism
Thrombosis
Ultrasonic imaging
Veins & arteries
Venous Thrombosis - etiology
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Summary:Venous thromboembolism in hand surgery is rare. There is no report in the literature on postoperative mortality from venous thromboembolism following microsurgery in upper limbs. We report the case of a 56-year-old Chinese man who died from pulmonary embolism as a result of bilateral lower-limb deep vein thrombosis following prolonged surgery under general anaesthesia after replantation of a finger. This case raises awareness of the need for precautions against venous thromboembolism following prolonged microsurgery and identification of high-risk patients.
ISSN:1024-2708
2226-8707
DOI:10.12809/hkmj144262