Abstract
Pulmonary embolism is a rare but life-threatening complication after major lung surgery. The case of a patient with sudden onset of hemodynamic instability 2 days after right-sided pneumonectomy is reported. After finding massive right ventricular dysfunction by transthoracic echocardiography and detection of an embolism by computed tomography, a successful and uneventful thrombolysis was performed. The risks and benefits of this procedure are discussed with reference to the literature.
MeSH terms
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Electrocardiography
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Fibrinolytic Agents / therapeutic use
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Heparin / therapeutic use
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Humans
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Lung / diagnostic imaging
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Lung / ultrastructure
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Male
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Middle Aged
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Pneumonectomy*
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Postoperative Complications / diagnostic imaging
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Postoperative Complications / drug therapy*
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Pulmonary Embolism / diagnostic imaging
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Pulmonary Embolism / drug therapy*
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Thrombolytic Therapy*
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Tomography, X-Ray Computed
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Ultrasonography
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Ventricular Dysfunction, Right / complications
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Ventricular Dysfunction, Right / therapy
Substances
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Fibrinolytic Agents
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Heparin