Early Detection of Pulmonary Thromboemboli during Nephrectomy Using Transesophageal Echocardiography

Authors

  •   Mehrdad Salehi Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences
  •   Kianoush Saberi Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences
  •   Mehrzad Rahmanian Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences
  •   R. Ali Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences
  •   Bakhshandeh Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences
  •   Shahnaz Sharifi Medical Education Department, School of Medical Education Sciences, Shahid Beheshti University of Medical Sciences, Tehran
  •   Roya Sattarzadeh Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences
  •   Anahita Tavoosi Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences

Keywords:

Nephrectomy, pulmonary emboli, transesophageal echocardiography

Abstract

Early detection and management of pulmonary embolism would ameliorate survival chances. Here, we report the case of a patient who was scheduled for a renal carcinoma and inferior vena cava thrombectomy wherein suddenly the thrombus migrated to the pulmonary artery. The problem was rapidly recognized by transesophageal echocardiography and before a fatal hemodynamic instability cardiopulmonary bypass was instituted and the thrombosis was extracted. The patient was discharged a week after the surgery without any complication.

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Published

2017-01-01

How to Cite

Salehi, M., Saberi, K., Rahmanian, M., Ali, R., Bakhshandeh, Sharifi, S., … Tavoosi, A. (2017). Early Detection of Pulmonary Thromboemboli during Nephrectomy Using Transesophageal Echocardiography. Karnataka Anaesthesia Journal, 3(1), 16–18. Retrieved from http://karnatakaanesthesiajournal.in/index.php/kaj/article/view/138921

Issue

Volume 3, Issue 1, January-March 2017

Section

Case Reports

References

Saric M, Armour AC, Arnaout MS, Chaudhry FA, Grimm RA, Kronzon I, et al. Guidelines for the Use of Echocardiography in the Evaluation of a Cardiac Source of Embolism. J Am Soc Echocardiogr 2016;29:1‑42.

Shuch B, Larochelle JC, Onyia T, Vallera C, Margulis D, Pantuck AJ, et al.Intraoperative thrombus embolization during nephrectomy and tumor thrombectomy: Critical analysis of the University of California‑Los Angeles experience. J Urol 2009;181:492‑8; discussion 498‑9.

Desciak MC, Martin DE. Perioperative pulmonary embolism: Diagnosis and anesthetic management. J Clin Anesth 2011;23:153‑65.

Colwell EM, Gandhi SD, Iqbal Z, Rashid ZA, Pagel PS. Use of multimodal imaging in the management of tumor embolism from the inferior vena cava through the right heart in a patient with renal cell carcinoma. J Cardiothorac Vasc Anesth 2014;28:1421‑4.

Tsubo T, Ebina M, Otomo N, Ishihara H, Matsuki A. Accurate detection of pulmonary embolism using epicardial echocardiography during right nephrectomy in a patient with renal cell carcinoma. J Cardiothorac Vasc Anesth 1998;12:684‑5.

Lee CL, Ong J, Chang BS, Chen TY, Lai HY. Accidental pulmonary emboli noted by TEE during aortic valve replacement: A case report. J Clin Anesth 2011;23:231‑3.

Painter NP, Kumar PA, Arora H. Acute pulmonary embolism during an endoscopic retrograde cholangiopancreatography. Ann Card Anaesth 2014;17:145‑7.