The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Acute Pulmonary Embolism due to Thrombus-in-Transit in the Right Atrium During Bipolar Endoprosthesis of the Hip

고관절치환술 중 발생한 우심방 내 이행성 혈전에 의한 급성 폐동맥색전증

  • Im, Moon-Sun (SMG-SNU Boramae Medical Center, Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kim, Yun Gi (SMG-SNU Boramae Medical Center, Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Choi, Won-Suk (SMG-SNU Boramae Medical Center, Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kim, Hack-Lyoung (SMG-SNU Boramae Medical Center, Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kim, Sang Hyun (SMG-SNU Boramae Medical Center, Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Zo, Joo-Hee (SMG-SNU Boramae Medical Center, Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kim, Myung-A (SMG-SNU Boramae Medical Center, Department of Internal Medicine, Seoul National University College of Medicine)
  • 임문순 (서울특별시 보라매병원 내과, 서울대학교 의과대학 내과학교실) ;
  • 김윤기 (서울특별시 보라매병원 내과, 서울대학교 의과대학 내과학교실) ;
  • 최원석 (서울특별시 보라매병원 내과, 서울대학교 의과대학 내과학교실) ;
  • 김학령 (서울특별시 보라매병원 내과, 서울대학교 의과대학 내과학교실) ;
  • 김상현 (서울특별시 보라매병원 내과, 서울대학교 의과대학 내과학교실) ;
  • 조주희 (서울특별시 보라매병원 내과, 서울대학교 의과대학 내과학교실) ;
  • 김명아 (서울특별시 보라매병원 내과, 서울대학교 의과대학 내과학교실)
  • Received : 2012.06.04
  • Accepted : 2012.09.24
  • Published : 2013.07.01
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Abstract

Venous thromboembolism is a relatively common condition in inhospital patients, but it may also manifest as a lethal disease. However, the diagnosis is not suspected clinically in the vast majority of cases. Most hospitalized patients are at risk of venous thromboembolism, but the risk can be reduced significantly by appropriate prophylaxis. We herein report a case of a huge right atrial thrombus that presented as sudden cardiogenic shock during bipolar endoprosthesis of the hip due to a femoral neck fracture. Although the patient was elderly and immobile for 3 days before hip surgery, she did not receive prophylaxis for venous thromboembolism. More attention should be paid to venous thromboembolism prophylaxis in high-risk patients.

저자들은 수술 전 정맥혈전 예방을 하지 않은 고령의 대퇴골 경부 골절 환자에서 수술 중 발생한 심인성 쇼크로 발현된 우심방 혈전을 심초음파로 진단하였던 1예를 경험하였다. 우심방 혈전에 의한 폐색전증은 치명적이나 예방 가능한 질환으로 본 증례를 통하여 폐색전증 예방의 중요성을 강조하는 바이다.

Keywords

References

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