Acute pulmonary embolism following adolescent idiopathic scoliosis correction surgery: case report and review of literature.
Pulmonary embolism is a significant complication of surgery. This report presents a case of suspected fatal postoperative acute pulmonary embolism following posterior correction surgery in a 16-year-old female with idiopathic scoliosis. The patient presented with a suspected pulmonary embolism 2 h postoperatively. She lost consciousness quickly, and cardiac respiratory arrest occurred. Cardiopulmonary resuscitation was started immediately. The patient was stabilized but underwent a further suspected pulmonary embolism the following day. Cardiopulmonary resuscitation was performed again, but she lost consciousness and respirator support was required. At 40 days after surgery, a computed tomography scan revealed an area of necrotic brain tissue near the lateral cerebral ventricle. The patient remained in a comatose state for 16 months, after which active management was withdrawn. This case reminds us to be alert to potentially fatal postoperative pulmonary embolism in young patients without any risk factors for thrombosis.
Department of Orthopaedics, Chao Yang Hospital, Capital Medical University, Beijing, China.
Xiang Long
XL
Meng
Hui
H
Zhao
Qing Jun
QJ
Su
Yong
Y
Hai
D000208:Acute Disease; D000293:Adolescent; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009336:Necrosis; D011183:Postoperative Complications / Q000473:pathology*; D011655:Pulmonary Embolism / Q000473:pathology*; D011859:Radiography; D012600:Scoliosis / Q000473:pathology / Q000601:surgery*
Adolescent idiopathic scoliosis; case report; postoperative complications; pulmonary embolism; scoliosis surgery