title: Acute massive pulmonary embolism treated by thrombo-embolectomy using intermittent deep hypothermic circulatory arrest.
abstract: 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.
authors: Department of Cardiothoracic Surgery, Sint Antonius Hospital, Koekoekslaan, Nieuwegein, The Netherlands.
authors: Bart P
authors: BP
authors: Van Putte
authors: Nabil
authors: N
authors: Bantal
authors: Repke
authors: R
authors: Snijder
authors: Wim J
authors: WJ
authors: Morshuis
authors: Wim-Jan
authors: WJ
authors: Van Boven
mesh_terms: 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
chemical_list: D000925:Anticoagulants