title: [Successful Emergency Pulmonary Embolectomy in a Patient with Shock；Report of a Case].
abstract: The patient was a 48-year-old man, who had hemodynamic shock after orthopedic surgery. He was then diagnosed with right pulmonary artery embolism. Circulatory collapse remained, despite cardiac resuscitation. Therefore, he was treated with percutaneous cardiopulmonary support (PCPS) and intra-aortic balloon pumping (IABP). He was then transferred to our hospital and emergency pulmonary embolectomy was performed under cardiopulmonary bypass. The postoperative course was uneventful, and he was discharged without complications. Early diagnosis and early placement of PCPS and IABP allows safe transfer of patients and successful performance of emergency pulmonary embolectomy.
authors.affiliation: Department of Cardiovascular Surgery, Japanese Red Cross Society Suwa Hospital, Suwa, Japan.
authors.forename: Noburou
authors.initials: N
authors.lastname: Ohashi
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Kono
authors.forename: Katsuaki
authors.initials: K
authors.lastname: Tsukioka
authors.forename: Kouhei
authors.initials: K
authors.lastname: Takahashi
mesh_terms: D004630:Emergencies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000601:surgery*; D012769:Shock / Q000150:complications*