 
			ISSN: 2155-6148
						Gezina TML Oei 
	
					    												
England						                            
                            
						
 Case Report
												Massive Pulmonary Embolism after Prolonged Spinal Fusion Surgery and the
Golden Hour 						
Author(s): Gezina TML Oei, Bart MP Rademaker, Mark C Altena, Niek van der Willigen, Robert K Riezebos and Cees de Vries
Gezina TML Oei, Bart MP Rademaker, Mark C Altena, Niek van der Willigen, Robert K Riezebos and Cees de Vries
             
						
												
				 Massive pulmonary embolism in the perioperative period almost inevitably leads to death if a delay in diagnosis and treatment occurs. The time window in which treatment should be initiated in order to reduce morbidity and mortality is very short; therefore a so-called golden hour for pulmonary embolism exists. Preoperatively, the role of ultrasound in the diagnosis of this potential life threating condition can be crucial. The present case report describes the role of transesophageal echocardiography after spinal fusion surgery in getting a timely diagnosis and treatment of massive perioperative pulmonary embolism.
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												DOI:
												 10.4172/2155-6148.1000532