Successful pulmonary embolectomy with central extra-corporeal membranous oxygenation for acute pulmonary thromboembolism.

Surgery Today
Hironobu WadaIchiro Yoshino

Abstract

The treatment of acute pulmonary thromboembolism with a hemorrhagic condition is quite challenging and it usually presents a clinical dilemma. Pulmonary embolectomy is generally performed with cardiopulmonary bypass; however, cardiopulmonary bypass usually requires full anticoagulation which cannot be used for patients with a hemorrhagic condition. We herein report a successful case of pulmonary embolectomy that was accomplished using central veno-arterial extracorporeal membranous oxygenation, instead of cardiopulmonary bypass, for a patient with an acute fatal pulmonary thromboembolism and hemorrhagic cerebral infarction following lung cancer surgery. Our strategy consists of surgical embolectomy under central veno-arterial extracorporeal membranous oxygenation with partial anticoagulation and the placement of an inferior vena cava filter to prevent recurrence without the use of anticoagulation therapy.

References

Mar 23, 2011·Circulation·Michael R JaffUNKNOWN American Heart Association Council on Arteriosclerosis, Thrombosis and Vascular Biology
Nov 24, 2011·Interactive Cardiovascular and Thoracic Surgery·Satoshi TaniguchiMasahito Sakuma
Dec 18, 2013·Thorax·Robin CondliffeDavid G Kiely
Sep 3, 2014·European Heart Journal·Stavros Konstantinides, Adam Torbicki
Aug 15, 2015·Surgery Today·Takayoshi YamamotoIchiro Yoshino
Sep 21, 2018·Journal of Thoracic Disease·Alessandra IaccarinoErnesto Greco

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