Life-Threatening Acute on Chronic Pulmonary Thromboembolism Requiring Extracorporeal Membrane Oxygenation

A 71-year-old female patient was admitted to the emergency department with sudden aggravation of chest pain and severe dyspnea. Computed tomography showed extensive pulmonary thromboembolism. Venoarterial extracorporeal membrane oxygenation (ECMO) was instituted due to sudden bradycardia and hypoten...

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Bibliographic Details
Published inJournal of chest surgery pp. 205 - 208
Main Authors 이희문, 김민수, 김욱성, 김용한, 조성호, 이재진
Format Journal Article
LanguageEnglish
Published 대한흉부외과학회 01.06.2018
Subjects
흉부외과학
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Summary:A 71-year-old female patient was admitted to the emergency department with sudden aggravation of chest pain and severe dyspnea. Computed tomography showed extensive pulmonary thromboembolism. Venoarterial extracorporeal membrane oxygenation (ECMO) was instituted due to sudden bradycardia and hypotension. An emergency operation was performed. However, chronic pulmonary thromboembolism combined with an acute pulmonary embolism was detected in the operating room. Embolectomy and endarterectomy were performed. ECMO was then discontinued. The patient was discharged on postoperative day 13 with warfarin for anticoagulation. The patient was followed up for 46 months as an outpatient without further thromboembolic events. KCI Citation Count: 0
Bibliography:https://doi.org/10.5090/kjtcs.2018.51.3.205
ISSN:2765-1606
2765-1614