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KMID : 0356920080540010117
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Korean Journal of Anesthesiology
2008 Volume.54 No. 1 p.117 ~ p.122
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Transesophageal Echocardiographic Diagnosis of Pulmonary Thromboembolism during Cesarean Delivery
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Oh Choong-Sik
Kwak Sang-Won
Kim Tae-Yop
Woo Nam-Sik
Sohn In-Sook
Chee Hyun-Keun
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Abstract
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Acute pulmonary thromboembolism (PTE) is life-threatening and difficult to diagnose. However, echocardiography can help diagnose and monitor PTE by visualizing the thrombus and assessing hemodynamic changes. Here we report the usefulness of transesophageal echocardiography (TEE) in a diagnosis of maternal PTE during cesarean delivery by showing a thromboembolus in pulmonary artery. In addition, TEE also prompted effective cardiopulmonary resuscitation for recurrent hemodynamic collapse due to a massive PTE, as well as rapid introduction of an extracorporeal membrane oxygenator to treat maternal hypoxia. (Korean J Anesthesiol 2008; 54: 117∼22)
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KEYWORD
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cesarean delivery, pulmonary thromboembolism, transesophageal echocardiography
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