Retrograde pulmonary embolectomy by flushing of the pulmonary veins.
A glue embolization of a cerebral arteriovenous malformation in a 3-year-old boy was complicated by a massive pulmonary embolus due to glue entering the venous circulation. Attempted pulmonary embolectomy via pulmonary arteriotomy after emergency cardiopulmonary bypass was unsuccessful. However, retrograde flushing of the pulmonary veins with cold saline solution produced large quantities of embolus through the pulmonary arteriotomy. Bypass was discontinued uneventfully with no residual cardiopulmonary problems.
Department of Cardiothoracic Surgery, Guy's Hospital, London, United Kingdom.
L C
LC
John
W I
WI
Awad
D R
DR
Anderson
D002315:Cardiopulmonary Bypass; D016461:Chemoembolization, Therapeutic / Q000009:adverse effects*; D002675:Child, Preschool; D003487:Cyanoacrylates / Q000009:adverse effects*; D017128:Embolectomy / Q000379:methods*; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000601:surgery*; D008297:Male; D011655:Pulmonary Embolism / Q000139:chemically induced / Q000601:surgery*; D011667:Pulmonary Veins; D012965:Sodium Chloride; D007507:Therapeutic Irrigation / Q000379:methods; D014014:Tissue Adhesives / Q000009:adverse effects*
D003487:Cyanoacrylates; D014014:Tissue Adhesives; D012965:Sodium Chloride