Fatal pulmonary embolism during liver transplantation in a patient with fulminant hepatic failure: A diagnostic challenge of the "flat-line" thromboelastogram

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 24, Issue 4, 2010, Pages 641-643

  El Baghdadi, Mariam M ^a   Sakai, Tetsuro ^a  

^a UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

Author keywords

orthotopic liver transplantation; pulmonary embolism; thromboelastography; transesophageal echocardiography

Indexed keywords

ADRENALIN; ALTEPLASE; BICARBONATE; CALCIUM CHLORIDE; FENTANYL; HEPARIN; ISOFLURANE; NITRIC OXIDE; ROCURONIUM; VASOPRESSIN;

ADULT; ARTICLE; CASE REPORT; CLINICAL FEATURE; DIAGNOSTIC ERROR; DIFFERENTIAL DIAGNOSIS; FEMALE; HUMAN; HYPOTENSION; LIVER FAILURE; LIVER TRANSPLANTATION; LUNG EMBOLISM; PRIORITY JOURNAL; PULMONARY HYPERTENSION; SYMPTOM; THROMBOELASTOGRAPHY;

ADULT; DIAGNOSIS, DIFFERENTIAL; FATAL OUTCOME; FEMALE; HUMANS; INTRAOPERATIVE COMPLICATIONS; LIVER FAILURE, ACUTE; LIVER TRANSPLANTATION; MALE; MIDDLE AGED; PULMONARY EMBOLISM; THROMBELASTOGRAPHY; TISSUE DONORS;

EID: 77955708781     PISSN: 10530770     EISSN: None     Source Type: Journal    
DOI: 10.1053/j.jvca.2009.07.013     Document Type: Article

References (15)

1. N. Warnaar, I.Q. Molenaar, and S.D. Colquhoun Intraoperative pulmonary embolism and intracardiac thrombosis complicating liver transplantation: A systematic review J Thromb Haemost 6 2008 297 302
2. E. Gologorsky, A.M. De Wolf, and V. Scott Intracardiac thrombus formation and pulmonary thromboembolism immediately after graft reperfusion in 7 patients undergoing liver transplantation Liver Transpl 7 2001 783 789
3. T. Sakai, S. Aggarwal, and I.A. Hilmi Incidence and outcome of intracardiac thrombus formation and pulmonary thromboembolism during adult orthotopic liver transplantation Liver Transpl 14 suppl 1 2008 S77
4. Y.G. Kang, D.J. Martin, and J. Marquez Intraoperative changes in blood coagulation and thromboelastographic monitoring in liver transplantation Anesth Analg 64 1985 888 896
5. J.F. Stremple, C.V. Hussey, and E.H. Ellison Study of clotting factors in liver homotransplantation Am J Surg 111 1966 862 869
6. R.J. Porte Coagulation and fibrinolysis in orthotopic liver transplantation: Current views and insights Semin Thromb Hemost 19 1993 191 196
7. C.G. Groth, L. Pechet, and T.E. Starzl Coagulation during and after orthotopic transplantation of the human liver Arch Surg 98 1969 31 34
8. P.T. Flute, M.O. Rake, and R. Williams Liver transplantation in manIV, haemorrhage and thrombosis Br Med J 3 1969 20 23
9. J.S. Plotkin, L.B. Johnson, and P.C. Kuo Intracardiac thrombus formation during orthotopic liver transplantation: A new entity or an old enemy? Transplantation 61 1996 1131
10. E.A. Sankey, J. Crow, and S.V. Mallett Pulmonary platelet aggregates: Possible cause of sudden perioperative death in adults undergoing liver transplantation J Clin Pathol 46 1993 222 227
11. M. Manji, J.L. Isaac, and J. Bion Survival from massive intraoperative pulmonary thromboembolism during orthotopic liver transplantation Brit J Anaesth 5 1998 685 687
12. D. Jackson, A. Botea, and Y. Gubenko Successful intraoperative use of recombinant tissue plasminogen activator during liver transplantation complicated by massive intracardiac/pulmonary thrombosis Anesth Analg 102 2006 724 728
13. J. Szocik, S. Rudich, and M. Csete ECMO resuscitation after massive pulmonary embolism during liver transplantation Anesthesiology 97 2002 763 764
14. C. Ellenberger, G. Mentha, and E. Giostra Cardiovascular collapse due to massive pulmonary thromboembolism during orthotopic liver transplantation J Clin Anesth 18 2006 367 371
15. A.B. Lerner, E. Sundar, and F. Mahmood Four cases of cardiopulmonary thromboembolism during liver transplantation without the use of antifibrinolytic drugs Anesth Analg 101 2005 1608 1612