AI Summary & Key Takeaways
AI InsightIn this case presentation, we discussed the case of pulmonary embolism determined in a young patient developing unconsciousness and then cardiopulmonary arrest following mobilization at the postoperative 12th hour after a lumbar spinal fusion surgery and determined to have severe right ventricular enlargement, leftward deviation of the interatrial septum, severe tricuspid failure at the bedside echocardiography and who was discharged after thrombolytic therapy.
📌 3 Key Takeaways
Abstract
Pulmonary embolism (PE) is a rare complication that may result in death after lumbar spinal fusion surgery. Although pulmonary embolism mortality rates decreased with early diagnosis and treatment, delays in the diagnosis of pulmonary embolism is commonly seen even with advanced diagnostic methods. Even though it is rare, the risk of pulmonary embolism as well as thrombophlebitis and deep vein thrombosis are encountered in patients undergoing spinal surgery. In this case presentation, we discussed the case of pulmonary embolism determined in a young patient developing unconsciousness and then cardiopulmonary arrest following mobilization at the postoperative 12th hour after a lumbar spinal fusion surgery and determined to have severe right ventricular enlargement, leftward deviation of the interatrial septum, severe tricuspid failure at the bedside echocardiography and who was discharged after thrombolytic therapy.
Özet
Pulmoner embolism (PE) lomber spinal füzyon ameliyatından sonra nadir görülen ve ölümle sonuçlanabilen bir komplikasyondur. Pulmoner embolide erken tanı ve tedavi ile mortalite oranları düşürülmesine rağmen, ilerleyen tanısal yöntemlerle bile pulmoner emboli tanısı koymada gecikme sıklıkla görülmektedir. Spinal cerrahi yapılmış hastalarda tromboflebit ve derin ven tromboz ile birlikte pulmoner emboli riski nadir de olsa görülmektedir. Biz bu vaka sunumunda lomber spinal füzyon ameliyatı sonrası 12. saatte mobilize edildikten sonra şuur bulanıklığı ve ardından kardiyopulmoner arrest gelişen, yatak başı ekokardiyografisinde (EKO) sağ kalp boşluklarında ileri derecede genişleme, interatriyal septumda sola deviasyon, ileri derecede triküspit yetmezliği saptanan, trombolitik tedavi sonrası taburcu edilen genç hastada saptanan pulmoner emboli vakasını tartıştık.