Korean J Crit Care Med.  1998 Nov;13(2):239-242.

Delayed Development of Pulmonary Embolism after Total Hip Replacement: A case report

Affiliations
  • 1Department of Anesthesiology, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 2Department of Anesthesiology, College of Medicine, Inha University, Inchon, Korea.

Abstract

Though anticoagulant therapy has been shown to improve outcomes dramatically, pulmonary embolism is a potentially fatal disease. A 82 years old female underwent elective operation for left femur neck fracture under general anesthesia. At the twenty-two postoperative days, she suddenly developed cyanosis with hypotension. She was transferred to intensive care unit and pulmonary embolism was diagnosed by pulmonary perfusion scan and echocardiography. Despite of diagnosis and treatment of pulmonaly embolism, she expired 29 hours after onset of symptom.

Keyword

Complication; pulmonary; Embolism; thromboembolism

MeSH Terms

Aged, 80 and over
Anesthesia, General
Arthroplasty, Replacement, Hip*
Cyanosis
Diagnosis
Echocardiography
Embolism
Female
Femoral Neck Fractures
Humans
Hypotension
Intensive Care Units
Perfusion
Pulmonary Embolism*
Thromboembolism
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