A Case Report of a Patient with Pulmonary Embolism Who Went into Cardiac Standstill during Surgery and Survived

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  • 術中閉腹時心静止から救命できた肺塞栓症の1例

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Abstract

  We experienced a patient who suffered from severe pulmonary hypertension (systolic pulmonary arterial pressure was 76mmHg) , which was detected just before the start of total gastrectomy. Emergency total gastrectomy was performed because of the uncontrolled bleeding from gastric cancer. Although PaO2 was low, she did not complain of dyspnea or chest pain. Cardiac standstill occurred when the abdominal wall was being closed at the end of the operation. PCPS and IABP were needed for resuscitation. Postoperative examinations suggested pulmonary embolisation to be the most likely cause of cardiac standstill observed during abdominal closure. She was discharged after 69 days without any severe complications.

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