Key result
Point of care transthoracic and transesophageal echocardiography successfully guided the diagnosis and multidisciplinary thrombolytic management of an intraoperative massive pulmonary embolism.
Case Report (n=1)
Point-of-care echocardiography can rapidly diagnose massive intraoperative pulmonary embolism and guide successful tailored thrombolytic therapy.
May aid intraoperative PE diagnosis and thrombolysis; hypothesis-generating and requires prospective validation.
Perioperative pulmonary embolism can go undetected until the sudden onset of cardiopulmonary collapse. Point of care echocardiography in such setting can narrow the differential diagnosis of precipitous instability and facilitate tailored, rather than empiric, therapy in the event of a massive pulmonary embolism. We describe the diagnosis and successful multidisciplinary management of intraoperative massive pulmonary embolism aided by both transthoracic and transesophageal echocardiography. Key aspects regarding the classification and treatment of pulmonary embolism are subsequently reviewed.
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Dudaryk et al. (2018) conducted a case report in Intraoperative massive pulmonary embolism (n=1). Point of care transthoracic and transesophageal echocardiography was evaluated. Point of care transthoracic and transesophageal echocardiography successfully guided the diagnosis and multidisciplinary thrombolytic management of an intraoperative massive pulmonary embolism.
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