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.
University of Birmingham Department of Anaesthesia and Intensive Care, Queen Elizabeth Hospital, Edgbaston.
M
M
Manji
J L
JL
Isaac
J
J
Bion
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