Review: Ophthalmic Surgery as a cause of Pulmonary Emboli

Yang, Verlyn; Romeo, Pascalino B

doi:10.47739/cardiology.1156

Cited by 1 publication

(1 citation statement)

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“…As ophthalmic surgery is considered as a low-risk procedure, routine thromboprophylaxis is often overlooked, and relevant guidelines for thromboprophylaxis during ophthalmic surgery are scarce[ 35 , 36 ]. In a previous survey-based study of anesthesiologists involved in the management of ophthalmic surgeries, 45% of respondents reported experiencing thromboembolism after ophthalmic surgery; however, only 40% stated that there were routine assessments for indications and contraindications of thromboprophylaxis in preanesthetic clinics[ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Acute lower extremity arterial thrombosis after intraocular foreign body removal under general anesthesia: A case report and review of literature

Jeon

Hong

Lee

et al. 2021

WJCC

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BACKGROUND Surgery, which is a major risk factor for venous thrombosis, has rarely been considered a risk factor for arterial thrombosis. Recent studies have suggested that venous and arterial thromboses share common risk factors and have a bidirectional relationship. Accordingly, there is a growing interest in the risk of arterial thrombosis after surgery. We report a case of acute bilateral lower extremity arterial thromboses that developed after a prolonged surgery. CASE SUMMARY A 59-year-old man was hospitalized for intraocular foreign body removal surgery. He was a heavy-drinking smoker and had untreated hypertension and varicose veins in both legs. The operation was unexpectedly prolonged, lasting 4 h and 45 min. Immediately after emergence from general anesthesia, the patient complained of extreme pain in both legs. After the surgical drape was removed, cyanosis was evident in both feet of the patient. The pulse was not palpable, and continuous-wave Doppler signals were inaudible in the bilateral dorsalis pedis and posterior tibial arteries. Computed tomography angiography confirmed acute bilateral thrombotic occlusion of the popliteal arteries, proximal anterior tibial arteries, and tibioperoneal trunks. Arterial pulse returned in both lower limbs after 6 h of heparin initiation. The patient was discharged on postoperative day 26 without any sequelae. CONCLUSION Acute lower extremity arterial thrombosis can occur after surgery. Anesthesiologists should pay particular attention to patients with risk factors for thrombosis.

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Section: Discussionmentioning

confidence: 99%