Survival from massive intraoperative pulmonary thromboembolism during orthotopic liver transplantation.
We report a case of massive pulmonary embolism occurring at the time of graft reperfusion in a patient undergoing orthotopic liver transplantation. The clinical diagnosis of pulmonary embolus was aided by on-table echocardiography. Cardiopulmonary bypass and surgical embolectomy prevented her death. We discuss the differential diagnosis, possible aetiology of pulmonary embolism in this context and subsequent management.
Manji
M
M
University of Birmingham Department of Anaesthesia and Intensive Care, Queen Elizabeth Hospital, Edgbaston.
Isaac
J L
JL
Bion
J
J
D000328:Adult; D002315:Cardiopulmonary Bypass; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D016031:Liver Transplantation; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery