Bilateral pulmonary embolism after arthroscopic anterior cruciate ligament reconstruction: A case report.
Bilateral pulmonary embolism after arthroscopic anterior cruciate ligament reconstruction: A case report.
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DOI：
10.1016/j.ijscr.2018.06.021
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发表时间：
2018
影响因子：
0.6
通讯作者：
Alogayyel N
中科院分区：
文献类型：
--
作者：
Koaban S;Alatassi R;Ahmed B;Alogayyel N
前交叉韧带重建术是一种常见且安全的手术方法，但也可能发生静脉血栓栓塞术的并发症。1例无危险因素的成年男性在关节镜下重建前交叉韧带后发生PE。术后一周的放射学检查证实为临床肺栓塞。对于关节镜下重建前交叉韧带的预防性抗凝治疗，目前尚无指南。本报告将提高人们对前交叉韧带重建术后严重并发症的认识。静脉血栓栓塞症是骨科手术的严重并发症。这在大型手术中非常常见，比如全髋关节置换术。然而，很少有报道描述较小侵入性手术(如膝关节镜手术)后肺栓塞的发生率及其相关危险因素。我们报告一位在关节镜下重建前十字韧带后出现双侧主肺动脉栓塞症的年轻男性病例。这位患者与其他类似病例的不同之处在于，他是一个积极健康的人，没有任何发生血栓形成的危险因素。尽管如此，他在膝关节镜检查后一周仍出现双侧肺栓塞。尽管重建前十字韧带是一种常见且安全的日常操作，但仍可能发生意想不到的并发症。其中之一是静脉血栓栓塞症，它可能是致命的。
ACL reconstruction is a common and safe procedure; however, complications of VTE can occur. An adult man with no risk factors developed PE after arthroscopic ACL reconstruction. Clinical pulmonary embolism was confirmed one-week post-surgery radiologically. No guidelines are available on prophylactic anticoagulation for arthroscopic ACL reconstruction. This report will increase the awareness of serious complications after ACL reconstruction. Venous thromboembolism is a serious complication in orthopedic surgery. It is very common in major surgery, such as total hip arthroplasty. However, few reports have described the incidence of pulmonary embolism and its associated risk factors following less invasive surgery, such as arthroscopic knee surgery. We describe a rare presentation of a young man with bilateral pulmonary embolism of the main pulmonary arteries following arthroscopic anterior cruciate ligament reconstruction. The present patient is different from other similar cases in that he was an active healthy man without any risk factors for the development of thrombosis. Despite this, he experienced a bilateral pulmonary embolism one week after knee arthroscopy. Although anterior cruciate ligament reconstruction is a common and safe procedure performed on a daily basis, unexpected complications may occur. One of these is venous thromboembolism which may be fatal.