Massive pulmonary embolism in Klippel-Trenaunay syndrome after leg raising: A case report

Figure 1 The intraoperative timeline for the patient. CVC: Central intravenous; CTPA: Computed tomography pulmonary angiography; CPCR: Cardiopulmonary cerebral resuscitation; ECMO: Extracorporeal membrane oxygenation; TEE: Trans-esophageal echocardiogram; PICU: Pediatric intensive care unit; EtCO₂: End-tidal carbon dioxide.

Figure 2 Pulmonary artery embolism. The intraluminal filling defects are noted in A: The right interlobar; B: The left truncus. Bilateral posterior pleural effusions are noted with posterior passive atelectasis of both lungs.

Figure 3 Catheter thrombolysis. Ekosonic Endovascular System-directed thrombolysis was advanced to, A: The left truncus; B: The right upper pulmonary artery.

Figure 4 The post-incident timeline for the patient. CT: Computed tomography; ECMO: Extracorporeal membrane oxygenation; PE: Pulmonary embolism.

Figure 5 Clinical photograph of the patient showing hypertrophy of the left lower limb. A: The lateral view: B: The medial view.

Figure 6 Algorithm for effective intraoperative decision-making while managing a patient with a pulmonary embolism. ECMO: Extracorporeal membrane oxygenation; TEE: Trans-esophageal echocardiogram; TTE: transthoracic echocardiography; PE: Pulmonary embolism; ICU: Intensive care unit.