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The Annals of Thoracic Surgery, Vol 57, 1322-1324, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Management of massive pulmonary thromboembolism complicating diabetic ketoacidosis

RL Quigley, RD Curran, RD Stagl and JC Alexander Jr
Department of Surgery, Northwestern University-Evanston Hospital, Illinois 60201.

Intravascular volume depletion secondary to diabetic ketoacidosis may result in thrombosis of major blood vessels. Without anticoagulation these thrombi can embolize to the lungs and compromise cardiopulmonary function. When this occurs early surgical pulmonary embolectomy is indicated to salvage a failing right heart.

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				D. Kidder, E. Pearson, J. Davidson, K. Swaminathan, and J. R Petrie Ketoacidosis with pulmonary embolism: a formula to detect clots? The British Journal of Diabetes & Vascular Disease, November 1, 2008; 8(6): 301 - 302. [PDF]

				N. S. Glaser, N. Kuppermann, C. K. J. Yee, D. L. Schwartz, and D. M. Styne Variation in the Management of Pediatric Diabetic Ketoacidosis by Specialty Training Arch Pediatr Adolesc Med, November 1, 1997; 151(11): 1125 - 1132. [Abstract] [PDF]