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KMID : 0356920070520050600
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Korean Journal of Anesthesiology
2007 Volume.52 No. 5 p.600 ~ p.604
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Fatal Cardiac and Pulmonary Embolisms during Radical Nephrectomy and Inferior Vena Cava Thrombectomy ?A case report?
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Chin Ji-Hyun
Lee Yu-Mi
Kim Young-Kug
Hwang Gyu-Sam
Hwang Jai-Hyun
Cho Sung-Kang
Han Sung-Min
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Abstract
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Intraoperative pulmonary embolism can result in severe hemodynamic instability, including cardiac arrest. Therefore, immediate diagnosis and proper treatment are required. We report a case of the acute cardiac and pulmonary embolisms during radical nephrectomy and inferior vena cava (IVC) thrombectomy in a patient with renal cell carcinoma with thrombus in the IVC. We diagnosed the cardiac embolism intraoperatively using the transesophageal echocardiogram, and performed emergent cardiac and pulmonary embolectomies immediately. After the surgery, the patient was discharged without any complication. (Korean J Anesthesiol 2007; 52: 600∼4)
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KEYWORD
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inferior vena cava thrombus, pulmonary embolism, renal cell carcinoma, transesophageal echocardiogram
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