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