[Successful surgical treatment of acute pulmonary thromboembolism caused by giant intra-pervic tumor; report of a case].
A 40-year-old woman was admitted to our hospital because of operation for giant intra-pervic tumor. She had a history of deep vein thrombosis. Suddenly she complained severe dyspnea while having a bath, and subsequently cardiogenic shock occurred. Immediately we set up percutaneous cardiopulmonary support (PCPS) for acute pulmonary thromboembolism. Despite thrombolytic therapy including the administration of urokinase and rt-PA, hemodinamics were not improved. Emergent pulmonary embolectomy was performed on-pump beating. Postoperative course was uneventful. The intra-pervic tumor was removed on the 24th postoperative day. She was discharged in good condition on the 38th postoperative day. Quick diagnosis and appropriate therapy are essential in patient with acute massive pulmonary thromboembolism.
Yuda
A
A
Department of Cardiovascular Surgery, Higashiyamato Hospital, Higashiyamato, Japan.
Noji
S
S
Tatebayashi
T
T
Tashiro
Y
Y
D000208:Acute Disease; D000328:Adult; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000150:complications*; D011655:Pulmonary Embolism / Q000209:etiology* / Q000601:surgery*