Abstract
Thromboprophylaxis of post knee arthroscopy is a matter of debate. Herein, we report the case of a young man who developed a sub-massive pulmonary embolism following knee arthroscopic anterior cruciate ligament repair, with an initial presentation of syncope. Right sided electrocardiography revealed ST-segment elevation and mild elevation of troponin I. Emergent cardiac catheterization reveal a myocardial bridge at the left anterior descending artery, however no occlusion or thrombus was found. Echocardiography showed a D shaped left ventricle in the apical four chamber view. Computed tomography pulmonary angiography confirmed a pulmonary embolism at bilateral distal pulmonary arteries with involvement of the distal branches. We further discuss the need of thromboprophylaxis after knee arthroscopy. (J Intern Med Taiwan 2012; 23: 106-113)
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
