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A Porcine Model of Acute Autologous Pulmonary Embolism
Published on: September 6, 2024
Pulmonary embolism in the operating room. Case report
Karina Bernardi Pimenta1, Beatriz do Céu Nunes
1Casa de Saúde São José, Rio de Janeiro, RJ.
Pulmonary embolism (PE) is a serious postoperative risk. This case highlights the critical need for early venous thrombosis prophylaxis in surgical patients, as PE can be a silent and rapidly fatal complication.
Area of Science:
- Cardiovascular Medicine
- Surgical Complications
- Pulmonary Medicine
Background:
- Pulmonary embolism (PE) is a frequent complication following surgical procedures.
- Venous thromboembolism prophylaxis is crucial for surgical patient management.
Purpose of the Study:
- To present a case of intraoperative pulmonary embolism.
- To emphasize the importance of venous thrombosis prophylaxis in surgical patients.
Main Methods:
- Case report of a 55-year-old male undergoing radical prostatectomy.
- Patient experienced hemodynamic instability and hypoxia post-extubation.
- Computed tomography (CT) imaging suggested pulmonary embolism.
Main Results:
- The patient developed symptoms suggestive of PE after surgery.
- Diagnostic investigation indicated pulmonary embolism.
- The patient demised on the 5th postoperative day.
Conclusions:
- Pulmonary embolism can be a silent disease, making diagnosis challenging.
- High suspicion alone is insufficient for timely diagnosis.
- Early and consistent prophylaxis remains the most effective preventive strategy.
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