title: A case of suspected severe pulmonary embolism in a living-related liver transplantation donor.
abstract: Optimal safety for a donor is an essential condition for living-related liver transplantation (LRLT). Severe pulmonary embolism may be a rare complication for the donors, but it is potentially fatal. Various risk factors and prophylactic methods for thromboembolic complications have been described. We report here a case of severe pulmonary embolism in a living-related liver transplantation donor who underwent right liver lobectomy, although the patient had no apparent risk factor for thromboembolism except for slight obesity (body mass index = 27). In addition, the donor received prophylactic use of graduated compression stockings and intermittent pneumatic compression by use of a special device from the start of anesthesia until the patient was able to ambulate. Fortunately, the patient was successfully treated with urokinase and heparin infusion followed by warfarin administration.
authors.affiliation: Department of Anesthesiology, Kansai Medical University, Moriguchi City, Osaka 570-8507, Japan. wakenom@takii.kmu.ac.jp
authors.forename: Mayu
authors.initials: M
authors.lastname: Wakeno-Takahashi
authors.forename: Shinichi
authors.initials: S
authors.lastname: Nakao
authors.forename: Sakahiro
authors.initials: S
authors.lastname: Ikeda
authors.forename: Masaki
authors.initials: M
authors.lastname: Kaibori
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Hidesuke
authors.initials: H
authors.lastname: Yanagida
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Kamiyama
authors.forename: Koh
authors.initials: K
authors.lastname: Shingu
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006498:Hepatectomy / Q000009:adverse effects*; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D019520:Living Donors; D008297:Male; D011655:Pulmonary Embolism / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000925:Anticoagulants; D005343:Fibrinolytic Agents