Pulmonary embolism with bilateral pulmonary infarction after surgical correction of Achilles tendon - a rare complication


  • Andrea Carla de Souza Contenças Faculdade de Ciências Médicas de Santos, São Paulo, Brasil
  • Mayara Oliveira da Silva Clínica Mega Imagem, Santos, São Paulo, Brasil
  • Márcio Luís Duarte WEBIMAGEM Telerradiologia, São Paulo, Brasil https://orcid.org/0000-0002-7874-9332
  • Lucas Ribeiro dos Santos Faculdade de Ciências Médicas de Santos, São Paulo, Brasil




Calcaneal tendon, Pulmonary Embolism, Computed Tomography Angiography, X-Ray Computed Tomography


Introduction: Pulmonary embolism (PE) is a potentially fatal disorder that occurs as a result of a thrombus formed in the deep venous system that detaches and obstructs the pulmonary artery or one of its branches. Herein we report a rare, bilateral PE after surgical correction of the Achilles tendon.

Objectives: To report a bilateral PE after calcaneus tendon repair, and to review the literature on this rare condition.

Materials and Methods: A search of the literature was carried out in electronic databases and a review of medical records.

Conclusion: PTE, although rare, is a serious and potentially fatal complication, requiring adequate and early treatment. Pharmacological prophylaxis in these situations is still controversial in the medical literature; however, there is consensus for the use of intermittent pneumatic compression in the postoperative period.


Download data is not yet available.


Ramirez MA, Richardson LC. Pulmonary embolism associated with bilateral spontaneous Achilles tendon rupture. J FootAnkleSurg. 2007 Jul-Aug; 46 (4): 283-7.

Chun DI, Lee S, Won SH, Cho J. Fatal pulmonary thromboembolism after Achilles tendon open repair: A rare case report. Medicine (Baltimore). 2017 Nov; 96 (47): e8887.

Calder JD, Freeman R, Domeij-Arverud E, et al. Meta-analysis and suggested guidelines for prevention of venous thromboembolism (VTE) in foot and ankle surgery. KneeSurg Sports TraumatolArthrosc 2016; 24: 1409–20.

Nilsson-Helander K, Thurin A, Karlsson J, et al. High incidence of deep venous thrombosis after Achilles tendon rupture: a prospective study. KneeSurg Sports TraumatolArthrosc 2009; 17: 1234–8.

Healy B, Beasley R, Weatherall M. Venous thromboembolism following prolonged cast immobilization for injury to the having Achillis. J Bone Joint Surg Br. 2010 May; 92 (5): 646-50.

Patel A, Ogawa B, Charlton T, Thordarson D. Incidence of deep vein thrombosis and pulmonary embolism after Achilles tendon rupture. Clin OrthopRelat Res. 2012 Jan; 470 (1): 270-4.

Palm V, Rengier F, Rajiah P, Heussel CP, Partovi S. Acute Pulmonary Embolism: Imaging Techniques, Findings, Endovascular Treatment and Differential Diagnoses. Rofo. 2020 Jan; 192 (1): 38-49.

Chodakowski JD, Courtney DM. Pulmonary embolism critical care update: prognosis, treatment, and research gaps. CurrOpinCritCare. 2018 Dec; 24 (6): 540-546.

Testroote M, Stigter W, de Visser DC, Janzing H. Low molecular weight heparin for prevention of venous thromboembolism in patients with lower-leg immobilization. Cochrane Database Syst Rev. 2008 Oct 8;(4):CD006681.

Domeij-Arverud E, Labruto F, Latifi A, et al. Intermittent pneumatic compression reduces the risk of deep vein thrombosis during postoperative lower limb immobilization: a prospective randomized trial of acute ruptures of the Achilles tendon. Bone Joint J 2015; 97-B: 675–80.




How to Cite

de Souza Contenças AC, Oliveira da Silva M, Duarte ML, Ribeiro dos Santos L. Pulmonary embolism with bilateral pulmonary infarction after surgical correction of Achilles tendon - a rare complication. Rev Port Cir Cardiotorac Vasc [Internet]. 2022 Jul. 3 [cited 2022 Sep. 27];29(2):63-6. Available from: https://pjctvs.com/index.php/journal/article/view/280



Clinical Cases

Most read articles by the same author(s)