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A Journal on Surgery

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Chirurgia 2013 October;26(5):373-5

language: English

Case report: acute pulmonary embolism in a multiple fracture patient

Chang K. C. 1, 2, Hsu L. C. 1, 2, Lai I. W. 1, 2, Chen I. M. 2, 3, Chen C. F. 2, 4, Chang W. K. 1, 2, Chan K. H. 1, 2, Wang S. C. 1, 2

1 Department of Anesthesiology Taipei Veterans General Hospital, Taipei Taiwan, Republic of China;
2 National Yang-Ming University, School of Medicine Taipei, Taiwan, Republic of China;
3 Department of Cardiovascular Surgery Taipei Veterans General Hospital, Taipei Taiwan, Republic of China;
4 Department of Orthopedics, Taipei Veterans General Hospital, Taipei Taiwan, Republic of China


Pulmonary embolism is a devastating complication. Though there are guidelines for venous thromboembolism prevention, questions remain to be clarified for the safety use of anticoagulant in patients with increased bleeding risk. Here we presented a 75-year-old female patient suffered from multiple fractures including traumatic loosening of her left prosthetic joint. No anticoagulant was used for fear of increased bleeding risk. Unfortunately acute pulmonary emboli occurred in the operation for revision of her left knee prosthetic joint 7 days later. This adverse event was immediately diagnosed by transesophageal echocardiography and successfully managed by embolectomy. The patient survived without neurological deficit.

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