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Massive pulmonary and intracardiac embolism during liver transplantation.
- Source :
-
Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation [Exp Clin Transplant] 2010 Jun; Vol. 8 (2), pp. 184-8. - Publication Year :
- 2010
-
Abstract
- Despite prolonged coagulation times and thrombocytopenia associated with end-stage liver disease, formation of thrombi in the circulation seems to occur more frequently during liver transplant than during any other type of major surgery. Here, we report a case of massive pulmonary and intracardiac embolism that resulted in cardiac arrest and intraoperative death. This was diagnosed by transesophageal echocardiography and occurred shortly after induction of anesthesia and initiation of continuous veno-venous hemofiltration without the concomitant use of antifibrinolytic drugs. We discuss the physiologic changes associated with cirrhosis and liver transplant, and review the literature.
- Subjects :
- Aged
Echocardiography, Transesophageal
Embolism blood
Embolism diagnostic imaging
Fatal Outcome
Female
Heart Arrest etiology
Heart Diseases blood
Heart Diseases diagnostic imaging
Humans
Liver Cirrhosis blood
Pulmonary Embolism blood
Pulmonary Embolism diagnostic imaging
Blood Coagulation
Embolism etiology
Heart Diseases etiology
Liver Cirrhosis surgery
Liver Transplantation adverse effects
Pulmonary Embolism etiology
Subjects
Details
- Language :
- English
- ISSN :
- 2146-8427
- Volume :
- 8
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation
- Publication Type :
- Review
- Accession number :
- 20565378