Fatal pulmonary embolism caused by thrombosis of contralateral axillary vein after arthroscopic right rotator cuff repair: A case report.
10.4097/kjae.2010.59.S.S172
- Author:
Seok Jai KIM
1
;
Kyung Yeon YOO
;
Hyung Gon LEE
;
Woong Mo KIM
;
Cheol Won JEONG
;
Hyun Jung LEE
Author Information
1. Department Anesthesiology and Pain Medicine, Chonnam National University Medical School, Gwangju, Korea. kyyoo@jnu.ac.kr
- Publication Type:Case Report
- Keywords:
Deep venous thrombosis;
Fatal pulmonary embolism;
Rotator cuff repair;
Shoulder arthroscopy
- MeSH:
Axillary Vein;
Female;
Heart Arrest;
Hemostasis;
Humans;
Middle Aged;
Multiple Organ Failure;
Pulmonary Embolism;
Rotator Cuff;
Shoulder;
Syncope;
Thromboembolism;
Thrombosis;
Venous Thrombosis
- From:Korean Journal of Anesthesiology
2010;59(Suppl):S172-S175
- CountryRepublic of Korea
- Language:English
-
Abstract:
A clinically apparent thromboembolism associated with arthroscopic shoulder surgery is extremely rare. We report a case of a fatal pulmonary embolism developed after an arthroscopic rotator cuff repair in a 45-year-old woman. On the first day after surgery, she experienced syncope that was complicated by cardiac arrest. No hemostasis impairment was noted. A computed tomography scan revealed a pulmonary embolism, and Doppler ultrasound revealed thrombosis of the axillary vein on the contralateral shoulder. She died from multiple organ failure 13 days after surgery. This case shows that clinicians must be aware of the potential occurrence of a pulmonary thromboembolism in patients undergoing prolonged arthroscopic shoulder surgery.
