title: [A case of successful pulmonary embolectomy for massive acute pulmonary thromboembolism].
abstract: A 54-year-old man was admitted to our hospital complaining of sudden-onset dyspnea in shock. Chest computed tomography(CT) showed thrombi in the right main and left intermediate pulmonary arteries. The case was diagnosed as a massive acute pulmonary thromboembolism. Although his hemodynamic status was stable after catecholamine infusion, his dyspnea was still in progress. Emergency pulmonary embolectomy was performed and the life of patient was saved. It is thought that progressive dyspnea is an important sign of a deteriorating hemodynamic status and the predictive symptom indicating a surgical procedure in patients with massive acute pulmonary thromboembolism.
authors.affiliation: Department of Cardiology and Pneumology, Dokkyo University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi 321-0293, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Fuse
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Harasawa
authors.forename: Takaaki
authors.initials: T
authors.lastname: Nakamoto
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Amano
authors.forename: Mikio
authors.initials: M
authors.lastname: Kobayashi
authors.forename: Noboru
authors.initials: N
authors.lastname: Kaneko
mesh_terms: D000208:Acute Disease; D017128:Embolectomy; D004630:Emergencies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000601:surgery*