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Ann Thorac Surg 1994;57:1322-1324
© 1994 The Society of Thoracic Surgeons

Articles

Management of massive pulmonary thromboembolism complicating diabetic ketoacidosis

Robert L. Quigley, MD, DPhil*, Ronald D. Curran, MD, Richard D. Stagl, MD, John C. Alexander, Jr, MD

Departments of Surgery and Medicine, Northwestern University-Evanston Hospital, Evanston, Illinois, USA

Accepted for publication August 19, 1993.

* Address reprint requests to Dr Quigley, Cardiothoracic Division, Department of Surgery, Evanston Hospital, 2650 Ridge Ave, Evanston, IL 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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Ketoacidosis with pulmonary embolism: a formula to detect clots?
The British Journal of Diabetes & Vascular Disease, November 1, 2008; 8(6): 301 - 302.
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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.
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