Key result
In a patient with severe intraoperative pulmonary thromboembolism undetected by transesophageal echocardiography, computed tomography confirmed the diagnosis and surgical embolectomy was successfully performed.
Why the study?
Under general anesthesia, the clinical signs of pulmonary thromboembolism are vague, complicating its timely diagnosis and treatment.
Case Report (n=1)
No
Highlights the potential limitations of intraoperative transesophageal echocardiography in detecting severe pulmonary embolism during surgery, emphasizing the need for high clinical suspicion and confirmatory imaging like CT.
Intraoperative TEE may miss severe pulmonary thromboembolism; case report leaves open the role of CT in high-suspicion surgical scenarios.
Pulmonary thromboembolism is a fatal disease most frequently caused by deep vein thrombosis. It is important to early diagnose, prevent, and manage deep vein thrombosis and pulmonary thromboembolism. However, under general anesthesia, the clinical signs of pulmonary thromboembolism are vague, which complicates its timely diagnosis and treatment. In the present case, transesophageal echocardiography was first performed to diagnose severe pulmonary embolism during pelvic fracture surgery; after computed tomography confirmation, embolectomy was successfully performed.
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Moon et al. (2020) conducted a case report in Severe pulmonary thromboembolism (n=1). Computed tomography and surgical embolectomy was evaluated on Patient survival and recovery. In a patient with severe intraoperative pulmonary thromboembolism undetected by transesophageal echocardiography, computed tomography confirmed the diagnosis and surgical embolectomy was successfully performed.
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