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British Journal of Anaesthesia, Vol 80, Issue 5 685-687, Copyright © 1998 by The Board of Management and Trustees of the British Journal of Anaesthesia

CASE REPORT

Survival from massive intraoperative pulmonary thromboembolism during orthotopic liver transplantation

M. Manji, J. L. Isaac and J. Bion
University of Birmingham Department of Anaesthesia and Intensive Care, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH

We report a case of massive pulmonary embolism occurring at the time of graft reperfusion in a patient undergoing orthotopic liver transplantation. The clinical diagnosis of pulmonary embolus was aided by on-table echocardiography. Cardiopulmonary bypass and surgical embolectomy prevented her death. We discuss the differential diagnosis, possible aetiology of pulmonary embolism in this context and subsequent management.
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