Fatal Pulmonary Embolism following Achilles Tendon Repair: A Case Report and a Review of the Literature
Deep venous thrombosis (DVT) is a significant source of morbidity in orthopaedic surgery. It can progress to a pulmonary embolism, a significant source of mortality. Up to date, patients with Achilles tendon rupture routinely do not receive DVT chemical prophylaxis. We are presenting a case of fatal...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/401968 |
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| author | Asim M. Makhdom Simon Garceau Ronald Dimentberg |
| author_facet | Asim M. Makhdom Simon Garceau Ronald Dimentberg |
| author_sort | Asim M. Makhdom |
| collection | DOAJ |
| description | Deep venous thrombosis (DVT) is a significant source of morbidity in orthopaedic surgery. It can progress to a pulmonary embolism, a significant source of mortality. Up to date, patients with Achilles tendon rupture routinely do not receive DVT chemical prophylaxis. We are presenting a case of fatal pulmonary embolism after a surgically treated Achilles tendon rupture in a forty-two-year-old male healthy patient. In the current body of the literature, the reported incidence of DVT after Achilles tendon rupture is highly variable ranging from less than 1% to 34%, and there is a disagreement in the international guidelines regarding the need of chemical DVT prophylaxis with this type of injury. Further research needs to be conducted to investigate the risks and benefits of chemical DVT prophylaxis following Achilles tendon rupture. For low-risk patients, the use of milder forms of prophylaxis such as aspirin should also be explored. |
| format | Article |
| id | doaj-art-82128813ccbc49c19d5a44e34c969cbc |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-82128813ccbc49c19d5a44e34c969cbc2025-02-03T06:42:10ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/401968401968Fatal Pulmonary Embolism following Achilles Tendon Repair: A Case Report and a Review of the LiteratureAsim M. Makhdom0Simon Garceau1Ronald Dimentberg2Division of Orthopaedic Surgery, McGill University, 1529 Cedar Avenue, Montreal, QC, H3G 1A6, CanadaDivision of Orthopaedic Surgery, University of British Columbia, Vancouver, BC, V5Z 1M9, CanadaDivision of Orthopaedic Surgery, McGill University, 1529 Cedar Avenue, Montreal, QC, H3G 1A6, CanadaDeep venous thrombosis (DVT) is a significant source of morbidity in orthopaedic surgery. It can progress to a pulmonary embolism, a significant source of mortality. Up to date, patients with Achilles tendon rupture routinely do not receive DVT chemical prophylaxis. We are presenting a case of fatal pulmonary embolism after a surgically treated Achilles tendon rupture in a forty-two-year-old male healthy patient. In the current body of the literature, the reported incidence of DVT after Achilles tendon rupture is highly variable ranging from less than 1% to 34%, and there is a disagreement in the international guidelines regarding the need of chemical DVT prophylaxis with this type of injury. Further research needs to be conducted to investigate the risks and benefits of chemical DVT prophylaxis following Achilles tendon rupture. For low-risk patients, the use of milder forms of prophylaxis such as aspirin should also be explored.http://dx.doi.org/10.1155/2013/401968 |
| spellingShingle | Asim M. Makhdom Simon Garceau Ronald Dimentberg Fatal Pulmonary Embolism following Achilles Tendon Repair: A Case Report and a Review of the Literature Case Reports in Orthopedics |
| title | Fatal Pulmonary Embolism following Achilles Tendon Repair: A Case Report and a Review of the Literature |
| title_full | Fatal Pulmonary Embolism following Achilles Tendon Repair: A Case Report and a Review of the Literature |
| title_fullStr | Fatal Pulmonary Embolism following Achilles Tendon Repair: A Case Report and a Review of the Literature |
| title_full_unstemmed | Fatal Pulmonary Embolism following Achilles Tendon Repair: A Case Report and a Review of the Literature |
| title_short | Fatal Pulmonary Embolism following Achilles Tendon Repair: A Case Report and a Review of the Literature |
| title_sort | fatal pulmonary embolism following achilles tendon repair a case report and a review of the literature |
| url | http://dx.doi.org/10.1155/2013/401968 |
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