Rl. Quigley et al., MANAGEMENT OF MASSIVE PULMONARY THROMBOEMBOLISM COMPLICATING DIABETIC-KETOACIDOSIS, The Annals of thoracic surgery, 57(5), 1994, pp. 1322-1324
Intravascular volume depletion secondary to diabetic ketoacidosis may
result in thrombosis of major blood vessels. Without anticoagulation t
hese thrombi can embolize to the lungs and compromise cardiopulmonary
function. When this occurs early surgical pulmonary embolectomy is ind
icated to salvage a failing right heart.