Massive intraoperative pulmonary embolism.
Intraoperative massive pulmonary embolism is extremely rare. We describe such a case in a patient treated for a prolonged period preoperatively with intravenous heparin after an acute myocardial infarction and unsuccessful attempt at angioplasty, emphasizing that the problem should be borne in mind to facilitate expeditious and appropriate management. A clue to the diagnosis is interruption of venous return that is not due to a kink in the cannulae.
Sisto
D
D
Albert Einstein College of Medicine, Bronx, NY.
Hoffman
D
D
Camacho
M
M
Fernandes
S
S
Maldarelli
W
W
Lee
S
S
D000368:Aged; D001026:Coronary Artery Bypass; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D008297:Male; D009203:Myocardial Infarction / Q000188:drug therapy; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control
D006493:Heparin