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Korean Journal of Anesthesiology 1999;37(6):1153-1158.
DOI: https://doi.org/10.4097/kjae.1999.37.6.1153   
Acute Massive Pulmonary Embolism Diagnosed by Transthoracic and Transesophageal Echocardiography during the Nephrectomy in the Renal Cancer Patient: A case report.
Soon Im Kim, Sun Chong Kim, Hyung Bin Park, Jung Seok Lee, Min Su Hyon
1Department of Anesthesiology, Soonchunhyang University Hospital, Seoul, Korea.
2Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.
Massive intraoperative pulmonary embolism (PE) is a fatal complication. However, the diagnosis of PE is difficult because clinical symptoms and signs are nonspecific, and specialized diagnostic facilities are not readily available in the operating room. We report a case of cardiac arrest due to a massive PE diagnosed by transthoracic and transesophageal Echocardiography during a nephrectomy in patient with renal cancer. This case demonstrates the great value of echocardiography in the diagnosis of an intraoperative massive pulmonary embolism.
Key Words: Cancer, renal cancer; Complication, pulmonary embolism, intraoperative; Surgery, nephrectomy


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