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Korean J Crit Care Med > Volume 24(3); 2009 > Article
Korean Journal of Critical Care Medicine 2009;24(3): 160-163. doi: https://doi.org/10.4266/kjccm.2009.24.3.160
유양돌기절제술 중 예기치 않게 발생한 폐혈전색전증-증례 보고-
곽현정ㆍ박희연ㆍ김홍순ㆍ최성호ㆍ이경천
가천의과학대학교 길병원 마취통증의학교실
Unexpected Intra-operative Pulmonary Thromboemolism during Elective Mastoidectomy: A Case Report
Hyun Jeong Kwak, Hee Yeon Park, Hong Soon Kim, Sung Ho Choi, Kyung Cheon Lee
Department of Anesthesiology and Pain Medicine, Gachon University of Medicine and Science, Gil Hospital, Incheon, Korea. leekc@gilhospital.com
ABSTRACT
We report on a 45-year-old patient who sustained an intra-operative pulmonary thromboembolism during elective mastoidectomy under general anesthesia. At the end of surgery, the patient developed hemodynamic compromise and exhibited T wave inversion on electrocardiogram. Echocardiography showed an echogenic mass in the right pulmonary artery and pulmonary hypertension. Pulmonary thromboembolism is rare in the field of otolaryngology and head and neck surgery; however, it may develop, resulting in a fatal outcome. It is thus important to establish the diagnosis early and prevent such serious complications.
Key Words: general anesthesia; mastoidectomy; pulmonary thromboembolism
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