Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 16, 2023; 11(17): 4133-4141
Published online Jun 16, 2023. doi: 10.12998/wjcc.v11.i17.4133
Massive pulmonary embolism in Klippel-Trenaunay syndrome after leg raising: A case report
Chih-Yu Lo, Kuen-Bao Chen, Li-Kuei Chen, Chiuan-Shiou Chiou
Chih-Yu Lo, Li-Kuei Chen, Chiuan-Shiou Chiou, Department of Anesthesiology, China Medical University Hospital, Taichung 40447, Taiwan
Kuen-Bao Chen, Department of Anesthesiology Pain Service and Critical Care Medicine, China Medical University Hospital, Taichung 40447, Taiwan
Author contributions: Lo CY and Chen KB are the first authors; Lo CY and Chen KB conceptualized and drafted the initial manuscript, and reviewed and revised the manuscript; Chiou CS and Chen LK conceptualized and coordinated, reviewed, and revised the manuscript; All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chiuan-Shiou Chiou, MD, PhD, Doctor, Department of Anesthesiology, China Medical University Hospital, No. 2 Yude Road, Taichung 40447, Taiwan. chiou.cs@gmail.com
Received: March 12, 2023
Peer-review started: March 12, 2023
First decision: April 20, 2023
Revised: April 27, 2023
Accepted: May 12, 2023
Article in press: May 12, 2023
Published online: June 16, 2023
Processing time: 91 Days and 17.1 Hours
Core Tip

Core Tip: Klippel-Trenaunay syndrome (KTS) is a congenital vascular disorder. Patients with KTS are at high risk for pulmonary embolism. All patient having KTS should be evaluated of lower limb circulation and pre-existing deep vein thrombosis (DVT) pre-operatively. Also, all patients with KTS should receive DVT prophylaxis at least 8 hours prior to surgery irrespective of the age. Care should be taken to monitor for PE in patients with KTS while leg raising for sterilization. Anesthesiologists should consider potential difficulties in managing the airway and avoid neuraxial anesthesia.