Fulminante Lungenarterienembolie in der frühen postoperativen Phase

Höhn, Andreas; Trojan, S.; Poels, Marcel; Sakka, Samir G.; Wappler, Frank

doi:10.1007/s00101-010-1739-1

Anaesthesist

2010

DOI: 10.1007/s00101-010-1739-1

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Fulminante Lungenarterienembolie in der frühen postoperativen Phase

Andreas Höhn

S. Trojan

Marcel Poels

et al.

Abstract: Acute pulmonary embolism is a serious perioperative complication with a high mortality. A case of early onset pulmonary embolism with acute right heart failure and resuscitation after spinal surgery is reported. The diagnosis was rapidly and reliably confirmed by transesophageal echocardiography (TEE) and a right atrial thrombus was detected. Persistent life-threatening hemodynamic instability required thrombolysis with 100 mg recombinant tissue-type plasminogen activator (rt-PA). The patient survived this cri… Show more

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Cited by 2 publications

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A Case of a Serpentine-like Right Atrial Thrombus Causing Pulmonary Embolism

Aksakal¹,

Emet²,

Değirmenci³

et al. 2012

JAEMCR

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Right atrial thrombi are rare but cause mortality in approximately 30-40% of cases. Echocardiography is important for determining the causes of the cardiac origin of pulmonary embolism, and, simultaneously, mobile thrombi can be rarely visualized in the right atrium and pulmonary artery. Thrombolytic therapy is a life-saving intervention in patients with a right atrial thrombus and massive pulmonary embolism. In this report, we present a case of a serpentine-like right atrial thrombus adhered to the interatrial septum, leading to pulmonary embolism. The interesting feature of this case is that mobile thrombi were simultaneously visualized in the right atrium and pulmonary artery by transthoracic echocardiography.

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A Case of a Serpentine-like Right Atrial Thrombus Causing Pulmonary Embolism

Aksakal¹,

Emet²,

Değirmenci³

et al. 2012

JAEMCR

View full text Add to dashboard Cite

show abstract

Risk Factors and Outcomes of New-Onset Diabetes After Transplant: Single-Centre Experience

AlGhareeb

El‐Agroudy²,

Arrayed³

et al. 2012

Exp Clin Transplant

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Objectives: We sought to study the prevalence, risk factors, and long-term prognosis of posttransplant diabetes mellitus. Materials and Methods:We studied all patients with end-stage renal disease without diabetic nephropathy who received a kidney transplant and were followed-up at our center since 1983 (n=218; age, 44.3 ± 13.1 y). Patients with new-onset diabetes after transplant were compared to kidney transplant recipients without risk factors for diabetes mellitus. Patients with new-onset diabetes after transplant were divided into subgroups according to time of onset (early; < 90 d vs late, ≥ 90 d).Results: In total, 73/218 patients (33%) developed new-onset diabetes after transplant. Patients with new-onset diabetes after transplant were significantly older (51.2 ± 11.4 vs 40.7 ± 12.5 y; P < .001) and had a tendency to have a higher body mass index (29.6 ± 8.7 vs 21.6 ± 7.8 kg/m 2 ; P =.05) than those that did not have new-onset diabetes after transplant. In multivariate analysis, age (P < .001), hepatitis C virus infection (P < .05), family history of diabetes mellitus (P < .03), and tacrolimus use (P < .001) were independent risk factors. Fiveand 10-year death censored patient survival rates were worse in those that had new-onset diabetes after transplant compared with controls (log rank, 0.04), whereas there was no difference in outcomes between the early and late subgroups. Conclusions:The prevalence of new-onset diabetes after transplant was 33%. Age, body weight at time of transplant, tacrolimus use, family history of diabetes mellitus, and hepatitis C virus infection are independent risk factors for new-onset diabetes after transplant. New-onset diabetes after transplant has a negative effect on patient survival, irrespective of the time of onset and duration of diabetes.

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Fulminante Lungenarterienembolie in der frühen postoperativen Phase

Cited by 2 publications

References 11 publications

A Case of a Serpentine-like Right Atrial Thrombus Causing Pulmonary Embolism

A Case of a Serpentine-like Right Atrial Thrombus Causing Pulmonary Embolism

Risk Factors and Outcomes of New-Onset Diabetes After Transplant: Single-Centre Experience

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