Journal article
Acute Pulmonary Embolism Caused by Abdominal Pannus Retraction in an Awake Patient in the Operating Room: A Case Report
A & A case reports, Vol.16(1), p.e01559
01/01/2022
DOI: 10.1213/XAA.0000000000001559
Abstract
We present a 67-year-old woman who was hemodynamically stable with radiographic evidence of saddle pulmonary embolism (PE) in the main pulmonary artery and mobile thrombus in the right heart. Endovascular thrombectomy was scheduled under general anesthesia. Before anesthesia induction, femoral vessel access was planned under local anesthesia in case emergent cardiopulmonary bypass (CPB) was needed. Immediately after abdominal pannus retraction was applied for better groin access, the patient developed cardiac arrest, and advanced cardiovascular life support (ACLS) protocol was initiated. Transesophageal echocardiography (TEE) confirmed acute massive PE. CPB was emergently established. Surgical embolectomy was conducted with successful outcome.
Details
- Title: Subtitle
- Acute Pulmonary Embolism Caused by Abdominal Pannus Retraction in an Awake Patient in the Operating Room: A Case Report
- Creators
- Alex S. Rier - Univ Iowa, Dept Anesthesia, Carver Coll Med, Iowa City, IA 52242 USASudhakar Subramani - Univ Iowa, Dept Anesthesia, Carver Coll Med, Iowa City, IA 52242 USASapna Ravindranath - Univ Iowa, Dept Anesthesia, Carver Coll Med, Iowa City, IA 52242 USAArun Singhal - Univ Iowa, Dept Cardiothorac Surg, Carver Coll Med, Iowa City, IA 52242 USASatoshi Hanada - Univ Iowa, Dept Anesthesia, Carver Coll Med, Iowa City, IA 52242 USA
- Resource Type
- Journal article
- Publication Details
- A & A case reports, Vol.16(1), p.e01559
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1213/XAA.0000000000001559
- ISSN
- 2325-7237
- eISSN
- 2325-7237
- Number of pages
- 3
- Grant note
- Department of Anesthesia at the University of Iowa Carver College of Medicine
- Language
- English
- Date published
- 01/01/2022
- Academic Unit
- Cardiothoracic Surgery; Anesthesia
- Record Identifier
- 9984295921202771
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