Post-operative Saddle Pulmonary Embolism with Extensive DVT: A Radiological and Clinical Perspective
Post-operative Saddle Pulmonary Embolism with Extensive DVT: A Radiological and Clinical Perspective 수술 후 광범위한 심부정맥혈전증을 동반한 안장 폐색전증: 방사선학적 및 임상적 고찰 Keywords: Saddle pulmonary embolism, deep venous thrombosis (DVT), postoperative complications, CT pulmonary angiography, IVC filter, Virchow's triad, massive PE, thrombolysis Introduction Pulmonary embolism (PE) is a critical medical emergency often stemming from deep venous thrombosis (DVT). It ranks as the third most common cause of cardiovascular death globally. Among its subtypes, saddle pulmonary embolism, where a thrombus straddles the bifurcation of the main pulmonary artery, poses an especially severe risk. This column presents an expert-level case analysis involving a 68-year-old woman who developed post-operative saddle PE accompanied by extensive DVT. Case Summary A 68-year-old female presented for elective repair of anterior abdominal wall hernias. Initial non-contrast CT of the abdomen and pelvis was unremarkable. The su...