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Successful usage of extracorporeal membrane oxygenation as a bridge therapy for acute pulmonary embolism between hospitals

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Abstract

A 50-year-old man presented to a nearby hospital with loss of consciousness. Investigation revealed thrombus formation at the tricuspid valve. Due to suspected pulmonary embolism, the patient underwent contrast-enhanced computed tomography during which he went into a shock with sudden drop in functional oxygen saturation (SpO2). Extracorporeal membrane oxygenation (ECMO) was introduced for cardiovascular and respiratory support, and he was transferred to our hospital for further treatment. The patient was treated by surgical thromboembolectomy and was dismissed from the hospital without major complications. We have experienced a case where ECMO was successfully used for cardiovascular and respiratory support, serving as a bridge therapy between hospitals.

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References

  1. Robinson RJ, Fehrenbacher J, Brown JW, Madura JA, King H. Emergent pulmonary embolectomy; the treatment for massive pulmonary embolus. Ann Thorac Surg 1986;42: 525–525.

    Google Scholar 

  2. Gorham LW. A study of pulmonary embolism. I. A clinicopathological investigation of 100 cases of massive embolism of the pulmonary artery; diagnosis by physical signs and differentiation from acute myocardial infarction. Arch Intern Med 1961;108:8–22.

    CAS  PubMed  Google Scholar 

  3. Tapson VF, Witty LA. Massive pulmonary embolism: massive pulmonary embolism-diagnostic and therapeutic strategies. Clin Chest Med 1995;16:329–340.

    CAS  PubMed  Google Scholar 

  4. Mattox KL, Feldtman RW, Beall AC Jr, DeBakey ME. Pulmonary embolectomy for massive pulmonary embolism. Ann Surg 1982;195:726–731.

    Article  CAS  PubMed  Google Scholar 

  5. Stulz P, Schlapfer R, Feer R, Habicht J, Gradel E. Decision making in the surgical treatment of massive pulmonary embolism. Eur J Cardiothorac Surg 1994;8:188–193.

    Article  CAS  PubMed  Google Scholar 

  6. Gulba DC, Schmidt C, Borst HG, Lichtlen P, Dietz R, Luft FC. Medical compared to surgical treatment if massive pulmonary embolism. Lancet 1994;343:576–577.

    Article  CAS  PubMed  Google Scholar 

  7. Yalamanchili K, Fleisher AG, Lehrman SG, Axelrod HI, Lafaro RJ, Sarabu MR, et al. Open pulmonary embolectomy for major pulmonary embolism. Ann Thorac Surg 2004;77: 819–823.

    Article  PubMed  Google Scholar 

  8. Wood KE. Major pulmonary embolism: review of pathophysiologic approach to the golden hour of hemodynamically significant pulmonary embolism. Chest 2002;121:877–905.

    Article  PubMed  Google Scholar 

  9. Vlahakes GJ, Turley K, Hoffman JIE. The pathophysiology of failure in acute right ventricular hypertension: hemodynamic and biochemical correlations. Circulation 1981;63: 87–95.

    CAS  PubMed  Google Scholar 

  10. Jackson A, Cropper J, Pye R, Junius F, Malouf M, Glanville A. Use of extracorporeal membrane oxygenation as a bridge to primary lung transplant: 3 consecutive, successful cases and a review of the literature. J Heart Lung Transplant 2008; 27:348–352.

    Article  PubMed  Google Scholar 

  11. Dauphine C, Omari M. Pulmonary embolectomy for acute massive pulmonary embolism. Ann Thorac Surg 2005;79: 1240–1244.

    Article  PubMed  Google Scholar 

  12. Amirghofran AA, Nia AE, Javan R. Surgical embolectomy in acute massive pulmonary embolism. Asian Cardiovasc Thorac Ann 2007;15:149–153.

    PubMed  Google Scholar 

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Correspondence to Daijiro Hori.

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Hori, D., Tanaka, M., Kohinata, T. et al. Successful usage of extracorporeal membrane oxygenation as a bridge therapy for acute pulmonary embolism between hospitals. Gen Thorac Cardiovasc Surg 58, 283–286 (2010). https://doi.org/10.1007/s11748-009-0540-z

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  • DOI: https://doi.org/10.1007/s11748-009-0540-z

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