Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5984648 | Journal of Cardiology Cases | 2014 | 4 Pages |
Abstract
Massive pulmonary thromboembolism (PE) is an acute-onset, life-threatening disease in the perioperative period. Massive PE led to severe hypoxemia and cor pulmonale in our patient who had undergone an operation for thalamic hemorrhage. Mechanical clot fragmentation using a Swan-Ganz catheter was attempted, because thrombolytic therapy was contraindicated for our patient. This procedure was successful, resulting in a decrease in pulmonary artery pressure with improvement in hypoxemia. Thus, this procedure may be useful for patients with massive PE with contraindications to thrombolytic therapy.
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Authors
Hitoshi MD, Kikuo MD, PhD, FJCC, Toyokazu MD, Koji MD, Takeshi MD, PhD, FJCC,