title: Percutaneous cardiopulmonary support for pulmonary thromboembolism caused by large uterine leiomyomata.
abstract: OBJECTIVE
  Acute pulmonary thromboembolism (PTE) is a common illness that causes death and disability. Deep vein thrombosis (DVT) is often found in patients with a large myomatous uterus, and can occasionally result in acute PTE. Here, we describe the achievement of a favorable outcome in a case of acute PTE.
  
  
  METHODS
  The patient presented with acute PTE caused by a large uterine leiomyoma, without DVT of the lower extremities. Percutaneous cardiopulmonary support (PCPS) was used as an adjunct to thrombolytic therapy to treat the right ventricular thrombus with acute PTE. According to emergency practice, PCPS was initiated, and the patient was successfully treated with thrombolytic and anticoagulant therapy associated with total abdominal hysterectomy.
  
  
  CONCLUSIONS
  This case suggests that PCPS can lead to favorable clinical outcomes in patients with large uterine leiomyomata and severe PTE.
authors.affiliation: Department of Obstetrics and Gynecology, Iizuka Hospital, Iizuka, Japan.
authors.forename: Masamitsu
authors.initials: M
authors.lastname: Kurakazu
authors.forename: Taeko
authors.initials: T
authors.lastname: Ueda
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Matsuo
authors.forename: Hiroyasu
authors.initials: H
authors.lastname: Ishikura
authors.forename: Naoko
authors.initials: N
authors.lastname: Kumagai
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Yoshizato
authors.forename: Shingo
authors.initials: S
authors.lastname: Miyamoto
mesh_terms: D000328:Adult; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D007889:Leiomyoma / Q000150:complications*; D011655:Pulmonary Embolism / Q000209:etiology* / Q000628:therapy*; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000150:complications*
chemical_list: D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator