Department Anesthesiology and Pain Medicine, Chonnam National University Medical School, Gwangju, Korea.
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S172-5. doi: 10.4097/kjae.2010.59.S.S172. Epub 2010 Dec 31.
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.
与关节镜肩关节手术相关的临床明显血栓栓塞极其罕见。我们报告了一例 45 岁女性在关节镜肩袖修复术后发生致命性肺栓塞的病例。术后第一天，她出现晕厥，随后发生心脏骤停。未发现止血功能障碍。计算机断层扫描显示肺栓塞，对侧肩部多普勒超声显示腋静脉血栓形成。术后 13 天，她死于多器官衰竭。本例表明，行长时间关节镜肩关节手术的患者有发生肺血栓栓塞的潜在风险，临床医生必须对此保持警惕。
