Successful resuscitation of acute massive pulmonary embolism with extracorporeal membrane oxygenation and open embolectomy.
Acute massive pulmonary embolism is usually fatal if not treated aggressively, but the management is not standardized. Open pulmonary embolectomy retains a role in the treatment of this disastrous disease. Extracorporeal membrane oxygenation has been used for cardiopulmonary support in some patients with life-threatening pulmonary embolism. This article details our experience of a 58-year-old woman suffering from acute cardiopulmonary collapse caused by massive pulmonary embolism. Under extracorporeal membrane oxygenation support, the patient received pulmonary angiography and underwent open embolectomy for a definitive treatment.
Hsieh
P C
PC
Division of Cardiovascular Surgery, National Taiwan University Hospital, Taipei. chphsieh@u.washington.edu
Wang
S S
SS
Ko
W J
WJ
Han
Y Y
YY
Chu
S H
SH
D000208:Acute Disease; D000792:Angiography; D016887:Cardiopulmonary Resuscitation; D017128:Embolectomy; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000601:surgery*; D002583:Uterine Cervical Neoplasms / Q000601:surgery