title: Fatal acute pulmonary embolism in a patient with pelvic lipomatosis after surgery performed after transatlantic airplane travel.
abstract: We describe a case of a 37-yr-old patient who traveled from Europe to the United States and succumbed to a massive pulmonary embolism 6 days after elective pelvic surgery despite routine postoperative thrombotic prophylaxis. In retrospect, he was likely to have developed a deep venous thrombosis during the transatlantic trip to our hospital. Anesthesiologists and other physicians involved in perioperative management need to be aware of the prevalence of venous thromboembolism in patients with a history of recent prolonged air travel. This is particularly true in tertiary referral centers, where patients with rare diseases may have a major surgical intervention within days of prolonged air travel.
authors.affiliation: *Division of Pulmonary and Critical Care Medicine, †Department of Anesthesiology, and ‡Department of Urology, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota.
authors.forename: Ognjen
authors.initials: O
authors.lastname: Gajic
authors.forename: Juraj
authors.initials: J
authors.lastname: Sprung
authors.forename: Brian A
authors.initials: BA
authors.lastname: Hall
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Lightner
mesh_terms: D000328:Adult; D001359:Aviation; D004487:Edema / Q000209:etiology; D017809:Fatal Outcome; D006801:Humans; D008068:Lipomatosis / Q000209:etiology* / Q000601:surgery*; D008297:Male; D010388:Pelvis; D011183:Postoperative Complications / Q000209:etiology* / Q000473:pathology; D011651:Pulmonary Artery / Q000473:pathology; D011655:Pulmonary Embolism / Q000209:etiology* / Q000473:pathology