Pulmonary embolism confirmed by transoesophageal echocardiography.

Sermeus, L; Van Hemelrijck, J; Vandommele, J; Van Aken, H · Anaesthesia · 1992

case_report · Level V

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Abstract

A 60-year-old patient suffered a pulmonary embolism following the application of an Esmarch and pneumatic tourniquet before arthroscopy of the knee. The diagnosis was suspected because of sudden hypotension, ECG changes, a decrease in end-expiratory carbon dioxide concentration and oxygen desaturation as indicated by pulse oximetry. Before performing a sternotomy and cardiopulmonary bypass for removal of pulmonary artery clots, the diagnosis was confirmed by the demonstration of severe right ventricular strain using transoesophageal echocardiography.

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