title: Massive postoperative pulmonary embolism in a young woman using oral contraceptives: the value of a preoperative anesthetic consult.
abstract: We describe the case of a woman with a history of active tabagism and on the oral contraceptive Yasmin, presenting in the Post-Anesthesia Care Unit (PACU) with a cardiac arrest due to massive pulmonary embolism following transforaminal lumbar interbody fusion surgery. The patient had preoperatively several risk factors for deep venous thrombosis. This case-report emphasizes the value of a preoperative anesthetic visit and eventual temporary cessation of certain oral contraceptives in specific cases.
authors.forename: S
authors.initials: S
authors.lastname: Amar
authors.forename: M
authors.initials: M
authors.lastname: Van Boven
authors.forename: H
authors.initials: H
authors.lastname: Rooijakkers
authors.forename: M
authors.initials: M
authors.lastname: Momeni
mesh_terms: D000736:Androstenes / Q000009:adverse effects*; D003276:Contraceptives, Oral / Q000009:adverse effects*; D004997:Ethinyl Estradiol / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D011300:Preoperative Care; D011655:Pulmonary Embolism / Q000209:etiology*; D012017:Referral and Consultation
chemical_list: D000736:Androstenes; D003276:Contraceptives, Oral; C534342:drospirenone and ethinyl estradiol combination; D004997:Ethinyl Estradiol