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Extracorporeal Membrane Oxygenation, Pulmonary Embolectomy, and Right Ventricular Assist Device for Massive Pulmonary Embolism.
Lodewyks, Carly L; Bednarczyk, Joseph M; Mooney, Owen T; Arora, Rakesh C; Singal, Rohit K.
Afiliação
  • Lodewyks CL; Section of Cardiac Surgery, Department of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
  • Bednarczyk JM; Section of Critical Care, Department of Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
  • Mooney OT; Section of Critical Care, Department of Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
  • Arora RC; Section of Cardiac Surgery, Department of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada; Section of Critical Care, Department of Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
  • Singal RK; Section of Cardiac Surgery, Department of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada; Section of Critical Care, Department of Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada. Electronic address: rsingal@sbgh.mb
Can J Cardiol ; 33(7): 950.e7-950.e9, 2017 07.
Article em En | MEDLINE | ID: mdl-28578933
ABSTRACT
Consensus regarding the management of massive pulmonary embolism (PE) and persistent shock after thrombolysis is lacking. A 30-year-old man collapsed with massive PE 3 days after an exploratory laparotomy for penetrating trauma, and he remained hypoxic and hypotensive despite thrombolytic therapy. Extracorporeal membrane oxygenation (ECMO) was instituted as a bridge to surgical embolectomy, and placement of a right ventricular assist device (RVAD) was used to facilitate separation from cardiopulmonary bypass. After 48 hours, the RVAD was removed, and the patient survived to discharge. ECMO and temporary RVAD to support surgical embolectomy are lifesaving therapeutic considerations.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Embolia Pulmonar / Oxigenação por Membrana Extracorpórea / Coração Auxiliar / Embolectomia Tipo de estudo: Diagnostic_studies Limite: Adult / Humans / Male Idioma: En Revista: Can J Cardiol Ano de publicação: 2017 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Embolia Pulmonar / Oxigenação por Membrana Extracorpórea / Coração Auxiliar / Embolectomia Tipo de estudo: Diagnostic_studies Limite: Adult / Humans / Male Idioma: En Revista: Can J Cardiol Ano de publicação: 2017 Tipo de documento: Article