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Fatal pulmonary thromboembolism after Achilles tendon open repair: A rare case report.

Abstract The operative procedure for Achilles tendon rupture is relatively simple, but venous thromboembolism is serious complication with a high incidence after Achilles tendon rupture. However, the guideline for thromboprophylaxis in Achilles tendon rupture is unclear.
PMID
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Authors

Mayor MeshTerms

Postoperative Complications

Keywords
Journal Title medicine
Publication Year Start




PMID- 29382016
OWN - NLM
STAT- MEDLINE
DCOM- 20180207
LR  - 20180207
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 47
DP  - 2017 Nov
TI  - Fatal pulmonary thromboembolism after Achilles tendon open repair: A rare case
      report.
PG  - e8887
LID - 10.1097/MD.0000000000008887 [doi]
AB  - RATIONALE: The operative procedure for Achilles tendon rupture is relatively
      simple, but venous thromboembolism is serious complication with a high incidence 
      after Achilles tendon rupture. However, the guideline for thromboprophylaxis in
      Achilles tendon rupture is unclear. PATIENT CONCERNS: The patient was 32-year-old
      male and underwent Achilles tendon open repair surgery. He was healthy and there 
      are no abnormal findings other than Achilles tendon rupture. At 3 weeks after
      operation, the episode of loss of consciousness with convulsive movement
      occurred. The next day, suddenly cardiac arrest occurred. DIAGNOSES: Extensive
      pulmonary thromboembolism in both pulmonary arteries was identified in chest
      computed tomography and thrombus was also identified at the left popliteal vein
      on ultrasonography. INTERVENTION: Anticoagulant therapy with heparin sodium was
      performed to manage the pulmonary thromboembolism. OUTCOMES: Brain swelling after
      ischemic brain damage, acute kidney injury, and pneumonia gradually occurred and 
      aggravated. His condition became worse and he died about 2 weeks after the
      cardiac arrest episode. LESSONS: Although the incidence of venous thromboembolism
      in Achilles tendon rupture is higher than that in lower leg injury patients,
      guideline for thromboprophylaxis is unclear. We suggest that thromboprophylaxis
      for Achilles tendon rupture should be considered and appropriate guidelines
      should be established.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Chun, Dong Il
AU  - Chun DI
AD  - Department of Orthopedic Surgery, Seoul Hospital, Soonchunhyang University
      College of Medicine, Seoul.
FAU - Lee, Sanghyeon
AU  - Lee S
AD  - Department of Orthopaedic Surgery, Chuncheon Sacred Heart Hospital, Hallym
      University, Chuncheon, Republic of Korea.
FAU - Won, Sung Hun
AU  - Won SH
AD  - Department of Orthopedic Surgery, Seoul Hospital, Soonchunhyang University
      College of Medicine, Seoul.
FAU - Cho, Jaeho
AU  - Cho J
AD  - Department of Orthopaedic Surgery, Chuncheon Sacred Heart Hospital, Hallym
      University, Chuncheon, Republic of Korea.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Achilles Tendon/injuries/*surgery
MH  - Adult
MH  - Death, Sudden, Cardiac/*etiology
MH  - Fatal Outcome
MH  - Humans
MH  - Male
MH  - *Postoperative Complications
MH  - Pulmonary Embolism/*etiology
MH  - Reconstructive Surgical Procedures/*adverse effects/methods
MH  - Rupture/*surgery
PMC - PMC5709015
EDAT- 2018/02/01 06:00
MHDA- 2018/02/08 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/08 06:00 [medline]
AID - 10.1097/MD.0000000000008887 [doi]
AID - 00005792-201711270-00107 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Nov;96(47):e8887. doi: 10.1097/MD.0000000000008887.