Article ID Journal Published Year Pages File Type
2908167 Cirugía Cardiovascular 2007 5 Pages PDF
Abstract

Presentamos el caso de un varón de 57 años que, en el seno de un meningioma microcítico, padece una tromboembolia pulmonar masiva aguda con inestabilidad hemodinámica. Dado el riesgo de hemorragia por el tumor craneal, se contraindica la terapia fibrinolítica y se procede a practicar embolectomía pulmonar. Ésta se realiza bajo anestesia general, con canulación convencional y bajo hipotermia moderada. Se extrae émbolo en el tronco de la arteria pulmonar y con catéter de Fogarty se extraen émbolos en ramas lobares y segmentarias. Discutimos la asociación de enfermedad tromboembólica con determinadas neoplasias y el tratamiento de la tromboembolia pulmonar

The case of a 57-year-old male, suffering from a microcitic meningioma, who presented with an acute massive pulmonary embolism and hemodynamic instability is presented. Given the risk of haemorrhages because of intracraneal tumor, fibrinolytic therapy was contraindicated and pulmonary embolectomy performed under general anesthesia, with conventional cannulation and moderate hypothermia. An embolus was removed from the pulmonary artery trunk and several emboli from lobar and segmental branches using a Fogarty catheter. The association between thromboembolic pathology and some tumours and the treatment of pulmonary emboli is discussed.

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