Massive Pulmonary Embolism in the Early Postoperative Period Following Coronary Artery Bypass Surgery
Asymptomatic venous thromboembolism is surprisingly frequent following coronary artery bypass surgery. In most cases, this situation is not clinically important, however it may lead to clinical conditions such as deep venous thrombosis and pulmonary embolism which are life threatening with high morb...
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| Format: | Article |
| Language: | English |
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Sakarya University
2015-12-01
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| Series: | Sakarya Tıp Dergisi |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/117197 |
| _version_ | 1797350415550906368 |
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| author | Atike Tekeli Kunt Çağrı Düzyol Hüseyin Şaşkın Rezan Aksoy |
| author_facet | Atike Tekeli Kunt Çağrı Düzyol Hüseyin Şaşkın Rezan Aksoy |
| author_sort | Atike Tekeli Kunt |
| collection | DOAJ |
| description | Asymptomatic venous thromboembolism is surprisingly frequent following coronary artery bypass surgery. In most cases, this situation is not clinically important, however it may lead to clinical conditions such as deep venous thrombosis and pulmonary embolism which are life threatening with high morbidity and mortality. Pulmonary thromboembolism following coronary artery bypass surgery is a rare complication. Although there is not a standard therapy protocol, early diagnose and therapeutic approach are vitally important for a successful result. Sixty three year old male patient was operated coronary artery bypass grafting with cardiopulmonary bypass. Respiratory and cardiac arrest following sudden syncope occured during mobilization on the 3rd postoperative day in the inpatient clinic. The transthoracic echocardiographic imaging revealed thrombus in the apical segment of the right ventricle, and thrombus in bilateral pulmonary arteries were found in the spiral computerized tomography scan. Thrombolytic therapy was administered with the diagnosis of acute pulmonary embolism. The clinical and radiological findings were resolved on the 48th hour of therapy. In this paper, we aimed to present thrombolytic therapy and its efficiency in a case of massive (high risk) pulmonary embolism in the early postoperative period following coronary artery bypass surgery for which the ethiologic factor was thought to be the thrombus in the right ventricle. |
| first_indexed | 2024-03-08T12:44:35Z |
| format | Article |
| id | doaj.art-a51a68c16b56419cbff43f2f7bda1f66 |
| institution | Directory Open Access Journal |
| issn | 2146-409X |
| language | English |
| last_indexed | 2024-03-08T12:44:35Z |
| publishDate | 2015-12-01 |
| publisher | Sakarya University |
| record_format | Article |
| series | Sakarya Tıp Dergisi |
| spelling | doaj.art-a51a68c16b56419cbff43f2f7bda1f662024-01-21T07:40:10ZengSakarya UniversitySakarya Tıp Dergisi2146-409X2015-12-015318018528Massive Pulmonary Embolism in the Early Postoperative Period Following Coronary Artery Bypass SurgeryAtike Tekeli KuntÇağrı DüzyolHüseyin ŞaşkınRezan AksoyAsymptomatic venous thromboembolism is surprisingly frequent following coronary artery bypass surgery. In most cases, this situation is not clinically important, however it may lead to clinical conditions such as deep venous thrombosis and pulmonary embolism which are life threatening with high morbidity and mortality. Pulmonary thromboembolism following coronary artery bypass surgery is a rare complication. Although there is not a standard therapy protocol, early diagnose and therapeutic approach are vitally important for a successful result. Sixty three year old male patient was operated coronary artery bypass grafting with cardiopulmonary bypass. Respiratory and cardiac arrest following sudden syncope occured during mobilization on the 3rd postoperative day in the inpatient clinic. The transthoracic echocardiographic imaging revealed thrombus in the apical segment of the right ventricle, and thrombus in bilateral pulmonary arteries were found in the spiral computerized tomography scan. Thrombolytic therapy was administered with the diagnosis of acute pulmonary embolism. The clinical and radiological findings were resolved on the 48th hour of therapy. In this paper, we aimed to present thrombolytic therapy and its efficiency in a case of massive (high risk) pulmonary embolism in the early postoperative period following coronary artery bypass surgery for which the ethiologic factor was thought to be the thrombus in the right ventricle.https://dergipark.org.tr/tr/download/article-file/117197koroner arter baypas pulmoner emboli trombolitik tedavicoronary artery bypasspulmonary embolismthrombolytic therapy |
| spellingShingle | Atike Tekeli Kunt Çağrı Düzyol Hüseyin Şaşkın Rezan Aksoy Massive Pulmonary Embolism in the Early Postoperative Period Following Coronary Artery Bypass Surgery Sakarya Tıp Dergisi koroner arter baypas pulmoner emboli trombolitik tedavi coronary artery bypass pulmonary embolism thrombolytic therapy |
| title | Massive Pulmonary Embolism in the Early Postoperative Period Following Coronary Artery Bypass Surgery |
| title_full | Massive Pulmonary Embolism in the Early Postoperative Period Following Coronary Artery Bypass Surgery |
| title_fullStr | Massive Pulmonary Embolism in the Early Postoperative Period Following Coronary Artery Bypass Surgery |
| title_full_unstemmed | Massive Pulmonary Embolism in the Early Postoperative Period Following Coronary Artery Bypass Surgery |
| title_short | Massive Pulmonary Embolism in the Early Postoperative Period Following Coronary Artery Bypass Surgery |
| title_sort | massive pulmonary embolism in the early postoperative period following coronary artery bypass surgery |
| topic | koroner arter baypas pulmoner emboli trombolitik tedavi coronary artery bypass pulmonary embolism thrombolytic therapy |
| url | https://dergipark.org.tr/tr/download/article-file/117197 |
| work_keys_str_mv | AT atiketekelikunt massivepulmonaryembolismintheearlypostoperativeperiodfollowingcoronaryarterybypasssurgery AT cagrıduzyol massivepulmonaryembolismintheearlypostoperativeperiodfollowingcoronaryarterybypasssurgery AT huseyinsaskın massivepulmonaryembolismintheearlypostoperativeperiodfollowingcoronaryarterybypasssurgery AT rezanaksoy massivepulmonaryembolismintheearlypostoperativeperiodfollowingcoronaryarterybypasssurgery |