A case of suspected severe pulmonary embolism in a living-related liver transplantation donor

J Clin Anesth. 2005 May;17(3):218-20. doi: 10.1016/j.jclinane.2004.06.011.

Abstract

Optimal safety for a donor is an essential condition for living-related liver transplantation (LRLT). Severe pulmonary embolism may be a rare complication for the donors, but it is potentially fatal. Various risk factors and prophylactic methods for thromboembolic complications have been described. We report here a case of severe pulmonary embolism in a living-related liver transplantation donor who underwent right liver lobectomy, although the patient had no apparent risk factor for thromboembolism except for slight obesity (body mass index = 27). In addition, the donor received prophylactic use of graduated compression stockings and intermittent pneumatic compression by use of a special device from the start of anesthesia until the patient was able to ambulate. Fortunately, the patient was successfully treated with urokinase and heparin infusion followed by warfarin administration.

MeSH terms

  • Adult
  • Anticoagulants / therapeutic use
  • Fibrinolytic Agents / therapeutic use
  • Hepatectomy / adverse effects*
  • Humans
  • Liver Transplantation / adverse effects*
  • Living Donors*
  • Male
  • Pulmonary Embolism / drug therapy
  • Pulmonary Embolism / etiology*

Substances

  • Anticoagulants
  • Fibrinolytic Agents