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Korean J Anesthesiol > Volume 47(3); 2004 > Article
Korean Journal of Anesthesiology 2004;47(3):429-432.
DOI: https://doi.org/10.4097/kjae.2004.47.3.429   
Therapy of Pulmonary Embolism under Cardiopulmonary Bypass during Bipolar Endoprosthesis of the Hip.
In Young Oh, Jung Ha Cho, Young Ju Kim, Choon Kyn Cho, Hwan Yeong Choi, Chang Kil Park
Department of Anesthesiology, Eulji University School of Medicine, Daejeon, Korea. inyoungoh0215@eulji.ac.kr
Although the occurrence of fatal pulmonary embolism may be diminishing, it still accounts for a substantial proportion of postoperative deaths in the middle-aged and older persons, especially among those undergoing major orthopedic surgery, despite improvements in patient management. We experienced cardiac arrest during bipolar endoprosthesis. Cardiopulmonary resuscitation was started and the transesophageal echocardiogram showed right heart failure. We suspected acute pulmonary thromboembolism and decided to perform thromboembolectomy with cardiopulmonary bypass. A massive old blood clot and a 1.0 x 1.5 cm thrombus were removed from both pulmonary arteries. However, despite massive fluid therapy and the use of inotropic agent, the patient failed to recover successfully with postoperative management in the intensive care unit.
Key Words: cardiac arrest; orthopedic-bipolar endoprosthesis; pulmonary embolism
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