[Successful thrombolysis of a massive pulmonary embolism following pneumonectomy].
Pulmonary embolism is a rare but life-threatening complication after major lung surgery. The case of a patient with sudden onset of hemodynamic instability 2 days after right-sided pneumonectomy is reported. After finding massive right ventricular dysfunction by transthoracic echocardiography and detection of an embolism by computed tomography, a successful and uneventful thrombolysis was performed. The risks and benefits of this procedure are discussed with reference to the literature.
Scheffler
M
M
Klinik für Anästhesiologie, Intensivmedizin, Schmerztherapie, Universitätsklinikum Gieben und Marburg, Standort Gieben, Rudolf-Buchheim-Strabe 7, 35392, Gieben. matthias.scheffler@med.uni-giessen.de
Menges
T
T
Zörb
C
C
Sucké
J
J
Hempelmann
G
G
D004562:Electrocardiography; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000648:ultrastructure; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000188:drug therapy*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000188:drug therapy*; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D018497:Ventricular Dysfunction, Right / Q000150:complications / Q000628:therapy
D005343:Fibrinolytic Agents; D006493:Heparin