Diagnosis and Thrombolytic Management of Massive Intraoperative Pulmonary Embolism Guided by Point of Care Transthoracic Echocardiography

Perioperative pulmonary embolism can go undetected until the sudden onset of cardiopulmonary collapse. Point of care echocardiography in such setting can narrow the differential diagnosis of precipitous instability and facilitate tailored, rather than empiric, therapy in the event of a massive pulmo...

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Main Authors: Roman Dudaryk, Julio Benitez Lopez, Jack Louro
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2018/8709026
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author Roman Dudaryk
Julio Benitez Lopez
Jack Louro
author_facet Roman Dudaryk
Julio Benitez Lopez
Jack Louro
author_sort Roman Dudaryk
collection DOAJ
description Perioperative pulmonary embolism can go undetected until the sudden onset of cardiopulmonary collapse. Point of care echocardiography in such setting can narrow the differential diagnosis of precipitous instability and facilitate tailored, rather than empiric, therapy in the event of a massive pulmonary embolism. We describe the diagnosis and successful multidisciplinary management of intraoperative massive pulmonary embolism aided by both transthoracic and transesophageal echocardiography. Key aspects regarding the classification and treatment of pulmonary embolism are subsequently reviewed.
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spelling doaj-art-e2bb26e259e54854b9cb78077dd0dbfe2025-08-20T03:21:07ZengWileyCase Reports in Anesthesiology2090-63822090-63902018-01-01201810.1155/2018/87090268709026Diagnosis and Thrombolytic Management of Massive Intraoperative Pulmonary Embolism Guided by Point of Care Transthoracic EchocardiographyRoman Dudaryk0Julio Benitez Lopez1Jack Louro2Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine, Miami, FL, USADepartment of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine, Miami, FL, USADepartment of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine, Miami, FL, USAPerioperative pulmonary embolism can go undetected until the sudden onset of cardiopulmonary collapse. Point of care echocardiography in such setting can narrow the differential diagnosis of precipitous instability and facilitate tailored, rather than empiric, therapy in the event of a massive pulmonary embolism. We describe the diagnosis and successful multidisciplinary management of intraoperative massive pulmonary embolism aided by both transthoracic and transesophageal echocardiography. Key aspects regarding the classification and treatment of pulmonary embolism are subsequently reviewed.http://dx.doi.org/10.1155/2018/8709026
spellingShingle Roman Dudaryk
Julio Benitez Lopez
Jack Louro
Diagnosis and Thrombolytic Management of Massive Intraoperative Pulmonary Embolism Guided by Point of Care Transthoracic Echocardiography
Case Reports in Anesthesiology
title Diagnosis and Thrombolytic Management of Massive Intraoperative Pulmonary Embolism Guided by Point of Care Transthoracic Echocardiography
title_full Diagnosis and Thrombolytic Management of Massive Intraoperative Pulmonary Embolism Guided by Point of Care Transthoracic Echocardiography
title_fullStr Diagnosis and Thrombolytic Management of Massive Intraoperative Pulmonary Embolism Guided by Point of Care Transthoracic Echocardiography
title_full_unstemmed Diagnosis and Thrombolytic Management of Massive Intraoperative Pulmonary Embolism Guided by Point of Care Transthoracic Echocardiography
title_short Diagnosis and Thrombolytic Management of Massive Intraoperative Pulmonary Embolism Guided by Point of Care Transthoracic Echocardiography
title_sort diagnosis and thrombolytic management of massive intraoperative pulmonary embolism guided by point of care transthoracic echocardiography
url http://dx.doi.org/10.1155/2018/8709026
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AT juliobenitezlopez diagnosisandthrombolyticmanagementofmassiveintraoperativepulmonaryembolismguidedbypointofcaretransthoracicechocardiography
AT jacklouro diagnosisandthrombolyticmanagementofmassiveintraoperativepulmonaryembolismguidedbypointofcaretransthoracicechocardiography