A case of suspected severe pulmonary embolism in a living-related liver transplantation donor.
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.
Wakeno-Takahashi
Mayu
M
Department of Anesthesiology, Kansai Medical University, Moriguchi City, Osaka 570-8507, Japan. wakenom@takii.kmu.ac.jp
Nakao
Shinichi
S
Ikeda
Sakahiro
S
Kaibori
Masaki
M
Yamamoto
Hidekazu
H
Yanagida
Hidesuke
H
Kamiyama
Yasuo
Y
Shingu
Koh
K
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*
D000925:Anticoagulants; D005343:Fibrinolytic Agents