Fatal pulmonary thromboembolism after laparoscopic cholecystectomy.

被引:0
作者
Abad C. [1 ]
Cáceres J.J. [1 ]
Alonso A. [1 ]
机构
[1] Department of Cardiovascular Surgery, Hospital Universitario de Gran Canaria Dr. Negrín, c/ Barranco de la Ballena s/n
关键词
Glucagon; Celiac Disease; Laparoscopic Cholecystectomy; Remifentanil; Mivacurium;
D O I
10.1007/s00464-001-0038-y
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学科分类号
摘要
A 67-year-old woman presented with severe cardiopulmonary insufficiency 17 days after an uneventful laparoscopic cholecystectomy. Pulmonary thromboembolism was demonstrated by transthoracic echocardiogram and later confirmed at surgery. With the aid of a cardiopulmonary bypass, a thrombectomy of the right atrium and the pulmonary artery was accomplished. The patient could not be weaned off cardiopulmonary bypass and ultimately died. We therefore recommend antithromboembolism therapy with low-molecular-weight heparin in selected cases of laparoscopic cholecystectomy.
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页码:1360 / 1360
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