Document Detail


Pitfall of percutaneous cardiopulmonary support for acute massive pulmonary embolism.
MedLine Citation:
PMID:  17895568     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The pitfall of percutaneous cardiopulmonary support (PCPS), which is thought to be useful for the detection of massive pulmonary emboli in patients, was investigated. A case of massive pulmonary embolism occurring 9 days after repair of the left Achilles tendon in a 31-year-old woman is described. Preoperatively, the thrombi in the right atrium and between the left popliteal vein and soleus muscle vein, as well as a massive pulmonary emboli, were detected. Despite using PCPS, it was difficult to maintain arterial pressure because of the outflow cannular occlusion caused by the floating thrombus in the right atrium, and so therefore the patient became hemodynamically unstable. After the removal of the thrombus and after a cardiopulmonary bypass was established, a pulmonary embolectomy was performed.
Authors:
Shingo Ishiguro; Kengo Nishimura; Yoshinobu Nakamura; Yasushi Kanaoka; Motonobu Nishimura
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  71     ISSN:  1346-9843     ISO Abbreviation:  Circ. J.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-26     Completed Date:  2007-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1657-8     Citation Subset:  IM    
Affiliation:
Division of Organ Regeneration Surgery, Tottori University, Faculty of Medicine, 36-1 Nishi-cho, Yonago 683-8504, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiopulmonary Bypass / adverse effects*,  methods*
Echocardiography, Transesophageal
Female
Heart Atria / pathology,  radiography,  ultrasonography
Humans
Pulmonary Artery / pathology,  radiography
Pulmonary Embolism / pathology,  surgery*,  ultrasonography
Tomography, X-Ray Computed

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