Asploro Journal of Biomedical and Clinical Case Reports
ISSN: 2582-0370
Article Type: Case Report
DOI: 10.36502/2023/ASJBCCR.6302
Asp Biomed Clin Case Rep. 2023 Jun 06;6(2):109-15
Xuemei He1,2, Rurong Wang1, Taoran Yang1, Yali Chen1*
1Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China
2Department of Anesthesiology, Cheng Du Shang Jin Nan Fu Hospital, Chengdu, China
Corresponding Author: Yali Chen
Address: Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, China.
Received date: 23 May 2023; Accepted date: 30 May 2023; Published date: 06 June 2023
Citation: He X, Wang R, Yang T, Chen Y. Acute Massive Pulmonary Embolism During Craniotomy: A Case Report. Asp Biomed Clin Case Rep. 2023 Jun 06;6(2):109-15.
Copyright © 2023 He X, Wang R, Yang T, Chen Y. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.
Keywords: Craniotomy, Pulmonary Embolism, Transesophageal Echocardiography, Catheter Related Thrombosis, Calf Muscle Venous Thrombosis
Abstract
Background: Venous thrombosis is a common complication among critically ill patients with intracerebral hemorrhage, which may lead to pulmonary embolism.
Case Presentation: In this report, we present a case of a man who was diagnosed with left basal ganglia region hemorrhage, hypertension, and venous thromboembolism. Considering the risks, including rebleeding and the expansion of the hematoma, he did not receive any anticoagulation after onset. The thrombus located in the pulmonary artery was found by transesophageal echocardiography after he suffered cardiac arrest during the craniotomy. Additionally, a thrombus attached to the central venous catheter was observed by ultrasound. Unfortunately, he died of PE without receiving any effective treatment.
Conclusions: This case emphasizes the importance of prophylactic and therapeutic strategies for thromboembolic events among critically ill populations. It also underscores the critical role of perioperative ultrasound.
