Massive Bilateral Pulmonary Emboli Complicating Coronary Artery Bypass Grafting: A Case Report
AbstractWe report an unusual case of massive bilateral pulmonary emboli following single coronary artery bypass grafting on cardiopulmonary bypass. The patient was admitted electively, received deep vein thrombosis prophylaxis, and had no clinical evidence of deep vein thrombosis in the perioperative period. On the tenth postoperative day he developed sudden dyspnea and a diagnosis of pulmonary embolus was made with computed tomography. Despite full anticoagulation he continued to deteriorate, and despite attempts at pulmonary embolectomy he died of right-sided heart failure. Post-mortem confirmed the diagnosis, but there was no evidence of thrombi in the pelvic and leg veins.
Briffa N, Large SR. 1996. Venous thromboembolism in coronary artery surgery. Heart 75:433.nRalph-Edwards AC, Feindel CM, Glynn MF. 1994. Successful treatment of massive pulmonary embolism after coronary artery bypass grafting due to heparin-induced thrombocytopenia. Ann Thorac Surg 57:1326-8.n