Survival from massive intraoperative pulmonary thromboembolism during orthotopic liver transplantation.

Manji, M; Isaac, J L; Bion, J · Br J Anaesth · 1998

case_report · Level V

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Abstract

We report a case of massive pulmonary embolism occurring at the time of graft reperfusion in a patient undergoing orthotopic liver transplantation. The clinical diagnosis of pulmonary embolus was aided by on-table echocardiography. Cardiopulmonary bypass and surgical embolectomy prevented her death. We discuss the differential diagnosis, possible aetiology of pulmonary embolism in this context and subsequent management.

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