Transesophageal Echocardiographic Diagnosis of Pulmonary Thromboembolism during Cesarean Delivery - A case report

Autor: In Sook Sohn, Hyun Keun Chee, Choong Sik Oh, Tae-Yop Kim, Nam Sik Woo, Sang Won Kwak
Rok vydání: 2008
Předmět:
Zdroj: Korean Journal of Anesthesiology. 54:117
ISSN: 0302-5780
DOI: 10.4097/kjae.2008.54.1.117
Popis: Chest Surgery, Konkuk University Hospital, Konkuk University School of Medicine, Seoul, Korea Acute pulmonary thromboembolism (PTE) is life-threatening and difficult to diagnose. However, echocardiography can help diagnose and monitor PTE by visualizing the thrombus and assessing hemodynamic changes. Here we report the usefulness of transesophageal echocardiography (TEE) in a diagnosis of maternal PTE during cesarean delivery by showing a thromboembolus in pulmonary artery. In addition, TEE also prompted effective cardiopulmonary resuscitation for recurrent hemodynamic collapse due to a massive PTE, as well as rapid introduction of an extracorporeal membrane oxygenator to treat maternal hypoxia. (Korean J Anesthesiol 2008; 54: 117~22)Key Words: cesarean delivery, pulmonary thromboembolism, transesophageal echocardiography.
Databáze: OpenAIRE