Case Report

Massive Pulmonary Embolism after Lumbar Spinal Fusion Surgery


  • Ezgi Akar
  • Fatih Doğu Geyik
  • Aynur Özensoy
  • M. Ufuk Akmil
  • Tülin Akarsu Ayazoğlu

Received Date: 12.03.2014 Accepted Date: 05.05.2014 Med Bull Haseki 2014;52(4):313-315

Pulmonary embolism (PE) is a rare complication that may result in death after lumbar spinal fusion surgery. Although pulmonary embolism mortality rates decreased with early diagnosis and treatment, delays in the diagnosis of pulmonary embolism is commonly seen even with advanced diagnostic methods. Even though it is rare, the risk of pulmonary embolism as well as thrombophlebitis and deep vein thrombosis are encountered in patients undergoing spinal surgery. In this case presentation, we discussed the case of pulmonary embolism determined in a young patient developing unconsciousness and then cardiopulmonary arrest following mobilization at the postoperative 12th hour after a lumbar spinal fusion surgery and determined to have severe right ventricular enlargement, leftward deviation of the interatrial septum, severe tricuspid failure at the bedside echocardiography and who was discharged after thrombolytic therapy.

Keywords: Spinal fusion, pulmonary embolism

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