Hemodynamic collapse during pulmonary embolectomy due to loss of venous return from acute occlusion of the cardiopulmonary venous cannula with thromboembolus.
We report a case of hemodynamic collapse during pulmonary embolectomy with cardiopulmonary bypass. The hemodynamic collapse was due to complete loss of venous return due to thromboembolic occlusion of the atrial cannula. The diagnosis was made during focused intraoperative transesophageal echocardiography.
Augoustides
John G T
JG
Cardiothoracic Section, Department of Anesthesiology and Critical Care, University of Pennsylvania Medical Center, Dulles 680, HUP, 3400 Spruce Street, Philadelphia, PA 19104-4283, USA. yiandoc@hotmail.com
Plappert
Ted
T
Bavaria
Joseph E
JE
D000328:Adult; D002315:Cardiopulmonary Bypass / Q000295:instrumentation*; D017548:Echocardiography, Transesophageal; D017128:Embolectomy / Q000009:adverse effects*; D004868:Equipment Failure; D005260:Female; D006439:Hemodynamics; D006801:Humans; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D012769:Shock / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D013923:Thromboembolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional