Successful Emergency Pulmonary Embolectomy in a Patient with Shock；Report of a Case
Ohashi, N.; Kono, T.; Tsukioka, K.; Takahashi, K.
Kyobu Geka. Japanese Journal of Thoracic Surgery 68(13): 1073-1075
2015
ISSN/ISBN: 0021-5252 PMID: 26759948 Document Number: 682089
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.