title: [Acute pulmonary thromboembolism during the surgery for bilateral lower extremity fracture].
abstract: A 50-year-old woman underwent open reduction and internal fixation for bilateral lower extremity fracture under general anesthesia. During the surgery, arterial oxygen saturation and expired CO2 concentration dropped suddenly when the left limb was fixed. Immediately, we performed aspiration of the pulmonary thrombus and inserted a temporary infra-vena cava filter followed by heparinization. Ten days later, we carried out the surgery on the right limb uneventfully. The major cause of APTE is deep vein thrombosis (DVT), which is extremely common during perioperative period. Therefore, we must perform antithrombotic therapy for the patient at high risk for DVT.
authors.affiliation: Department of Anesthesia, Kagawa Rosai Hospital, Marugame 763-0013.
authors.forename: Narushi
authors.initials: N
authors.lastname: Toda
authors.forename: Tomoyo
authors.initials: T
authors.lastname: Ohue
authors.forename: Masahiko
authors.initials: M
authors.lastname: Nishimoto
authors.forename: Michio
authors.initials: M
authors.lastname: Kitaura
authors.forename: Takeshi
authors.initials: T
authors.lastname: Samuta
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Koyama
authors.forename: Ayako
authors.initials: A
authors.lastname: Ishimura
mesh_terms: D000208:Acute Disease; D000768:Anesthesia, General; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000628:therapy*; D035002:Lower Extremity / Q000293:injuries* / Q000601:surgery*; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome; D016306:Vena Cava Filters; D020246:Venous Thrombosis / Q000209:etiology
chemical_list: D005343:Fibrinolytic Agents; D006493:Heparin