Accidental pulmonary emboli noted by TEE during aortic valve replacement: a case report
| Autor: | Hsien-Yong Lai, Tsung-Ying Chen, Jimmy Ong, Chia-Ling Lee, Bee-Song Chang |
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| Rok vydání: | 2009 |
| Předmět: |
Aortic valve
Tachycardia Male medicine.medical_specialty Hemodynamics Pulmonary Artery law.invention Aortic valve replacement law Internal medicine medicine.artery Monitoring Intraoperative medicine Cardiopulmonary bypass Humans Heart Valve Prosthesis Implantation business.industry Middle Aged medicine.disease Surgery Pulmonary embolism Cardiac surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Aortic Valve Pulmonary artery cardiovascular system Cardiology medicine.symptom business Pulmonary Embolism Echocardiography Transesophageal |
| Zdroj: | Journal of clinical anesthesia. 23(3) |
| ISSN: | 1873-4529 |
| Popis: | Pulmonary embolism (PE) is difficult to diagnose clinically. In a patient who was scheduled for elective aortic valve replacement, several fresh emboli were recognized in the right atrium on transesophageal echocardiography (TEE). The PEs then disappeared on the echocardiographic image, with significant immediate hemodynamic changes noted by real-time monitors, such as tachycardia and increased pulmonary artery (PA) pressure. Pulmonary embolism was highly suspected. After cardiopulmonary bypass and aortic valve replacement, PA thromboembolectomy was performed successfully. The patient survived and was discharged from the hospital 17 days later without sequelae. |
| Databáze: | OpenAIRE |
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