M. Manji et al., SURVIVAL FROM MASSIVE INTRAOPERATIVE PULMONARY THROMBOEMBOLISM DURINGORTHOTOPIC LIVER-TRANSPLANTATION, British Journal of Anaesthesia, 80(5), 1998, pp. 685-687
We report a case of massive pulmonary embolism occurring at the time o
f graft reperfusion in a patient undergoing orthotopic liver transplan
tation. The clinical diagnosis of pulmonary embolus was aided by on-ta
ble echocardiography. Cardiopulmonary bypass and surgical embolectomy
prevented her death. We discuss the differential diagnosis, possible a
etiology of pulmonary embolism in this context and subsequent manageme
nt.