Perioperative pulmonary embolism can go undetected until the sudden onset of cardiopulmonary collapse. Point of care\nechocardiography in such setting can narrow the differential diagnosis of precipitous instability and facilitate tailored, rather\nthan empiric, therapy in the event of a massive pulmonary embolism. We describe the diagnosis and successful multidisciplinary\nmanagement of intraoperative massive pulmonary embolism aided by both transthoracic and transesophageal echocardiography.\nKey aspects regarding the classification and treatment of pulmonary embolism are subsequently reviewed.
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