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Korean Journal of Anesthesiology 2007;52(5):600-604.
DOI: https://doi.org/10.4097/kjae.2007.52.5.600   
Fatal Cardiac and Pulmonary Embolisms during Radical Nephrectomy and Inferior Vena Cava Thrombectomy: A case report.
Ji Hyun Chin, Yu Mi Lee, Young Kug Kim, Gyu Sam Hwang, Jai Hyun Hwang, Sung Kang Cho, Sung Min Han
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. kyk@amc.seoul.kr
Intraoperative pulmonary embolism can result in severe hemodynamic instability, including cardiac arrest. Therefore, immediate diagnosis and proper treatment are required. We report a case of the acute cardiac and pulmonary embolisms during radical nephrectomy and inferior vena cava (IVC) thrombectomy in a patient with renal cell carcinoma with thrombus in the IVC. We diagnosed the cardiac embolism intraoperatively using the transesophageal echocardiogram, and performed emergent cardiac and pulmonary embolectomies immediately. After the surgery, the patient was discharged without any complication.
Key Words: inferior vena cava thrombus; pulmonary embolism; renal cell carcinoma; transesophageal echocardiogram


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