Masiello P, Mastrogiovanni G, Iesu S, Panza A, Triumbari F, Di Benedetto G
Department of Cardiac Surgery, Hospital San Leonardo, Salerno, Italy.
Tex Heart Inst J. 1994;21(4):314-6.
A 70-year-old woman underwent an aortocoronary bypass. Three hours later, she experienced severe pulmonary embolism, diagnosed by transesophageal echocardiography and followed by cardiac arrest. Resuscitation maneuvers were unsuccessful. Autopsy confirmed the diagnosis. When pulmonary embolism occurs after cardiopulmonary bypass for cardiac surgery, it usually occurs in the 2nd postoperative week; and to the best of our knowledge, the literature contains no other reports of cases that occurred during a shorter postoperative interval. Prevention of pulmonary embolism in high-risk patients is mandatory. When embolism occurs, transesophageal echocardiography is an essential tool in making the diagnosis and in guiding the surgeon during intervention.
一名70岁女性接受了主动脉冠状动脉搭桥手术。三小时后，她发生了严重的肺栓塞，经食管超声心动图诊断，随后心脏骤停。复苏措施未成功。尸检证实了诊断。心脏手术后体外循环后发生肺栓塞时，通常发生在术后第二周；据我们所知，文献中没有其他关于术后更短时间内发生此类病例的报道。对高危患者预防肺栓塞是必要的。当发生栓塞时，经食管超声心动图是诊断和指导外科医生进行干预的重要工具。
