Korean J Anesthesiol.  2007 Sep;53(3):391-394. 10.4097/kjae.2007.53.3.391.

Therapy of Pulmonary Thromboembolism under Emergency Byspass System during Anterior Cruciate Ligament Repair: A case report

• Jang DM
• Kim KT
• Kim JW
• Choe WJ
• Lee JR
• Lee SI

• KMID: 2039634
• DOI: http://doi.org/10.4097/kjae.2007.53.3.391

Abstract

A 56 year old female patient was transferred to the operating room for the repair of anterior cruciate ligament under general anesthesia. Initial vital sign was stable, but there was gradual decreases of the blood pressure and end-tidal CO2 after femur tourniquet application. We suspected the pulmonary thromboembolism, and started massive treatment of using ventilator with 100% O2, various invasive monitors and many vasopressors. Because the patient's vital sign was so unstable, we finally made a decision of using emergency bypass system (Capiox EBS(R), Terumo, Japan) by femoral artery and vein. After that, we transferred the patient to intensive care unit, and continued vigorous treatment. The patient was diagnosed as pulmonary thromboembolism by CT scan. We treated her with infusion of heparin and maintained ACT above 200 second. The 4th day at the intensive care unit, we removed the emergency bypass system. We transferred her to general ward without any complication after 12th day postoperatively.

Keyword

anterior cruciate ligament; emergency bypass system; pulmonary thromboembolism

MeSH Terms

Anesthesia, General
Anterior Cruciate Ligament*
Blood Pressure
Emergencies*
Female
Femoral Artery
Femur
Heparin
Humans
Intensive Care Units
Middle Aged
Operating Rooms
Patients' Rooms
Pulmonary Embolism*
Tomography, X-Ray Computed
Tourniquets
Veins
Ventilators, Mechanical
Vital Signs
Heparin