The spectrum of thromboembolization in the central circulation.
The right heart and great veins can be the harbinger of septic and aseptic thromboemboli, which can result in a spectrum of clinical syndromes. This report presents five distinct clinical scenarios of thromboembolization, the occurrence of which in the central circulation resulted in life-threatening sepsis and hemodynamic and pulmonary insufficiency. Recommendations for therapeutic intervention and a review of the literature also are presented.
Hoff
B H
BH
Department of Anesthesiology, University of Maryland School of Medicine, Baltimore.
Hawke
M
M
Fletcher
S
S
Matjasko
M J
MJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016470:Bacteremia / Q000209:etiology* / Q000628:therapy; D002405:Catheterization, Central Venous / Q000009:adverse effects; D005260:Female; D006331:Heart Diseases / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology* / Q000628:therapy; D013350:Subclavian Vein; D013927:Thrombosis / Q000209:etiology* / Q000628:therapy