title: Surgical treatment of pulmonary embolism with recent intracranial hemorrhage.
abstract: Massive pulmonary embolism (PE) with concomitant intracranial hemorrhage (ICH) has a high mortality rate. Although thrombolytic therapy is generally accepted as emergent treatment for massive PE, the risk of bleeding complications are significant. A 69-year-old woman presented with acute PE 11 days after onset of ICH. Thrombolysis was deferred, and emergent surgical embolectomy with cardiopulmonary bypass (CPB) was elected. Patient outcome was favorable without recurrence of ICH.
authors.affiliation: Department of Cardiovascular Surgery, University of Kyorin, Tokyo, Japan.
authors.forename: Hidehito
authors.initials: H
authors.lastname: Endo
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kubota
authors.forename: Masaya
authors.initials: M
authors.lastname: Sato
authors.forename: Kenichi
authors.initials: K
authors.lastname: Sudo
mesh_terms: D000368:Aged; D002315:Cardiopulmonary Bypass / Q000379:methods*; D017128:Embolectomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020300:Intracranial Hemorrhages / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D011655:Pulmonary Embolism / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D011877:Radionuclide Imaging; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome