Pulmonary embolism during surgery for a Wilms' tumour (nephroblastoma). Case report.
During resection of a Wilms' tumour in a 10-year-old girl, sudden bradycardia, hypotension and cyanosis developed, leading to cardiac arrest. It was thought that part of the tumour had caused a pulmonary embolus. After prompt resuscitation, cardiopulmonary bypass surgery was started within 20 min. At operation the left pulmonary artery was blocked by a tumour embolus which was removed with a Fogarty catheter. The patient is still alive and well 27 months after her operation. We believe her to be the longest surviving patient of this type.
D002648:Child; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D007680:Kidney Neoplasms / Q000601:surgery*; D011655:Pulmonary Embolism / Q000209:etiology*; D009396:Wilms Tumor / Q000601:surgery*