title: [Embolectomy in fulminant lung embolism and persistent electromechanical uncoupling--a case report and review of the literature].
abstract: A 56-year-old patient with deep vein thrombosis shown by phlebography developed a massive pulmonary embolism during perfusion ventilation lung scanning with complete occlusion of the main pulmonary artery branch. 40 minutes after beginning of symptoms the patient suffered from persistent heart failure. Under external heart massage and controlled ventilation a cardio-pulmonary bypass was established after sterniotomy. After manual manipulations to express peripheral emboli pulmonary embolectomy and cava clipping was performed. The patient recovered without neurological damage.
authors.affiliation: Abteilung Kardiologie, Medizinische Hochschule Hannover.
authors.forename: S
authors.initials: S
authors.lastname: Peters
authors.forename: J
authors.initials: J
authors.lastname: Laas
authors.forename: T O
authors.initials: TO
authors.lastname: Wagner
authors.forename: U
authors.initials: U
authors.lastname: Frei
authors.forename: H G
authors.initials: HG
authors.lastname: Borst
mesh_terms: D002315:Cardiopulmonary Bypass; D004562:Electrocardiography; D006333:Heart Failure / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000601:surgery; D011655:Pulmonary Embolism / Q000601:surgery*; D013616:Tachycardia, Sinus / Q000601:surgery*; D013617:Tachycardia, Supraventricular / Q000601:surgery*; D013924:Thrombophlebitis / Q000150:complications*
vernacular_title: Embolektomie bei fulminanter Lungenembolie und persistierender elektromechanischer Entkoppelung--Fallbericht und Literaturübersicht.