Key result
Emergent cardiac and pulmonary embolectomies successfully rescue a patient from acute embolisms during IVC thrombectomy.
Case Report (n=1)
No
Intraoperative transesophageal echocardiography is crucial for the immediate diagnosis and management of acute cardiac and pulmonary embolisms during high-risk surgeries such as IVC thrombectomy.
May support TEE-guided embolism management in high-risk urologic surgery; leaves open prospective validation beyond single cases.
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.
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Chin et al. (2007) conducted a case report in Renal cell carcinoma with inferior vena cava thrombus (n=1). Emergent cardiac and pulmonary embolectomy was evaluated on Patient survival and complication status at discharge. A 64-year-old male patient successfully underwent emergent cardiac and pulmonary embolectomies after experiencing acute embolisms during radical nephrectomy and IVC thrombectomy, and was discharged without complications.
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