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Multiple pulmonary microemboli complicating pneumonectomy
C M Satur1, R H Robertson, P E Da Costa
1Department of Cardiothoracic Surgery, Killingbeck Hospital, Leeds, England.
Abstract:
Pulmonary embolism is widely recognized to complicate abdominal and lower limb orthopedic surgical procedures, but in comparison, it is seldom recognized to hamper the postoperative progress of patients after thoracic operations. We present 4 patients in whom multiple pulmonary emboli developed after pneumonectomy, 2 of whom were treated successfully. We discuss the mostly atypical presentation and the physiological and clinical consequences, and also suggest a mode of management.
Insights
Pulmonary embolism (PE) rarely complicates thoracic surgery. This study reports four post-pneumonectomy patients with PE, discussing atypical presentations and management strategies for this uncommon complication.
Area of Science:
- Cardiothoracic Surgery
- Vascular Surgery
- Pulmonary Medicine
Background:
- Pulmonary embolism (PE) is a known complication of orthopedic surgery but is infrequently recognized after thoracic procedures.
- Post-pneumonectomy patients are at risk for venous thromboembolism, yet PE presentation can be atypical.