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Korean J Anesthesiol. 2011 Dec;61(6):515-8. doi: 10.4097/kjae.2011.61.6.515. Epub 2011 Dec 20.

Fatal pulmonary embolism and coincidental cerebral infarction after spinal anesthesia -A case report-.

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  • 1Department of Anesthesiology and Pain Medicine, School of Medicine, CHA University, Pocheon, Korea.


A pulmonary embolism and cerebral infarction are the second and third most common acute cardiovascular diseases after a myocardial infarction. Early diagnosis and appropriate management are important clinical challenges. In this case, a fatal pulmonary embolism and extensive cerebral infarction caused cardiac arrest during spinal anesthesia for total hip replacement surgery. Transesophageal echocardiography indicated a pulmonary embolism and brain CT showed large area of acute infarction at right middle cerebral artery territory. Pulmonary CT angiogram revealed massive pulmonary embolism findings. This paper reviews this case and suggests other preventive modalities.


Cerebral infarction; Pulmonary embolism; Spinal anesthesia

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