Massive pulmonary embolism presented as sudden cardiac arrest in the immediate postoperative period after laparoscopic hysterectomy.
A rare case of postoperative cardiac arrest in an otherwise healthy, 49-year-old female patient who had a laparoscopic hysterectomy, is presented. The cause of cardiac arrest was due to massive pulmonary embolism, which was detected by transesophageal echocardiography. Laparoscopic surgery is regarded as a less invasive procedure and provides a lower risk for postoperative complications. However, our is a case reminer that pneumoperitoneum may interfere with venous flow of lower extremities and predispose one to deep vein thrombosis or pulmonary embolism.
Hsieh
Shao Wei
SW
First Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung Hsien, Chang Gung University, Taipei, Taiwan.
Lan
Ko Mao
KM
Luk
Hsiang Ning
HN
Wang
Chieh Shien
CS
Jawan
Bruno
B
D000925:Anticoagulants / Q000627:therapeutic use; D000927:Anticonvulsants / Q000627:therapeutic use; D003128:Coma / Q000209:etiology / Q000628:therapy; D017548:Echocardiography, Transesophageal; D004715:Endometriosis / Q000601:surgery; D005260:Female; D006323:Heart Arrest / Q000209:etiology*; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects*; D010535:Laparoscopy / Q000009:adverse effects*; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D012640:Seizures / Q000188:drug therapy / Q000209:etiology
D000925:Anticoagulants; D000927:Anticonvulsants; D006493:Heparin