Early Detection of Pulmonary Thromboemboli during Nephrectomy Using Transesophageal Echocardiography

M. Salehi, K. Saberi, Mehrzad Rahmanian, R. Ali, Bakhshandeh, Shahnaz Sharifi, R. Sattarzadeh, A. Tavoosi
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Abstract

Early detection and management of pulmonary embolism would ameliorate survival chances. Here, we report the case of a patient who was scheduled for a renal carcinoma and inferior vena cava thrombectomy wherein suddenly the thrombus migrated to the pulmonary artery. The problem was rapidly recognized by transesophageal echocardiography and before a fatal hemodynamic instability cardiopulmonary bypass was instituted and the thrombosis was extracted. The patient was discharged a week after the surgery without any complication.
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经食管超声心动图对肾切除术中肺血栓栓塞的早期检测
早期发现和处理肺栓塞将提高生存机会。在这里,我们报告一个病人的情况,谁是预定的肾癌和下腔静脉血栓切除术,突然血栓迁移到肺动脉。经食管超声心动图迅速发现了这个问题,并在致命的血流动力学不稳定之前进行了体外循环并提取了血栓。病人术后一周出院,无任何并发症。
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