• World Neurosurg · May 2020

    Case Reports

    A Rare Case of Fatal Pulmonary Embolism in a Pediatric Spine Surgery.

    • Peng Ji, Yingying Jiang, Wei Hou, Qin Li, and Yan Kang.
    • Department of Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
    • World Neurosurg. 2020 May 1; 137: 183-186.

    BackgroundAn 11-year-old girl had undergone posterior spinal fusion surgery for scoliosis. The surgery was complicated by intraoperative bleeding, and hemostasis was achieved by topically applying gelatin sponges.Case DescriptionShe developed acute pulmonary embolism and cardiac arrest during the surgery, which was confirmed by transesophageal echocardiography.ConclusionsAutopsy shortly after revealed that her death was associated with unintended intravascular entry of gelatin sponge fragments, resulting in an embolic event and secondary cardiopulmonary collapse.Copyright © 2020 Elsevier Inc. All rights reserved.

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