Acute massive pulmonary embolism treated by thrombo-embolectomy using intermittent deep hypothermic circulatory arrest.
Acute massive pulmonary embolism is a life threatening medical emergency resulting in a high mortality rate. Usually, urgent thrombo-embolectomy is performed using double venous cannulation without circulatory arrest. We describe a patient suffering from acute massive pulmonary embolism that was treated by emergency thrombo-embolectomy. Due to back-bleeding the view into the lobar and segmental pulmonary arteries was severely compromised. In order to achieve complete thrombo-embolectomy, intermittent deep hypothermic circulatory arrest was performed.
Van Putte
Bart P
BP
Department of Cardiothoracic Surgery, Sint Antonius Hospital, Koekoekslaan, Nieuwegein, The Netherlands.
Bantal
Nabil
N
Snijder
Repke
R
Morshuis
Wim J
WJ
Van Boven
Wim-Jan
WJ
D000208:Acute Disease; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D050792:Circulatory Arrest, Deep Hypothermia Induced; D017128:Embolectomy; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000601:surgery*; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000925:Anticoagulants