Fatal pulmonary embolism and coincidental cerebral infarction after spinal anesthesia -A case report-
Jong-Yeon Lee1, Su-Yeon Lee, Inho Shin
1Department of Anesthesiology and Pain Medicine, School of Medicine, CHA University, Pocheon, Korea.
Abstract:
A pulmonary embolism and cerebral infarction are the second and third most common acute cardiovascular diseases after a myocardial infarction. Early diagnosis and appropriate management are important clinical challenges. In this case, a fatal pulmonary embolism and extensive cerebral infarction caused cardiac arrest during spinal anesthesia for total hip replacement surgery. Transesophageal echocardiography indicated a pulmonary embolism and brain CT showed large area of acute infarction at right middle cerebral artery territory. Pulmonary CT angiogram revealed massive pulmonary embolism findings. This paper reviews this case and suggests other preventive modalities.
Related Concept Videos
Pulmonary Embolism I: Introduction
Pulmonary Embolism I: Introduction
Pulmonary Embolism III: Nursing Management
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Local Anesthetics: Clinical Application as Spinal Anesthesia

