Successful treatment of postoperative massive pulmonary embolism with paradoxal arterial embolism through extracorporeal life support and thrombolysis

Konstantinos Grapatsas; Vasileios Leivaditis; Paul Zarogoulidis; Zoi Tsilogianni; Sotirios Kotoulas; Christophoros Kotoulas; Efstratios Koletsis; Ilias Stylianos Iliadis; Konstantinos Spiliotopoulos; Georgia Trakada; Lemonia Veletza; Anastasios Kallianos; Theodora Tsiouda; Christoforos Kosmidis; Wolfgang Hohenforst-Schmidt; Haidong Huang; Rainer Haussmann; Erich Haussmann; Manfred Dahm

Respiratory Medicine Case Reports (Jan 2018)

Successful treatment of postoperative massive pulmonary embolism with paradoxal arterial embolism through extracorporeal life support and thrombolysis

Konstantinos Grapatsas,
Vasileios Leivaditis,
Paul Zarogoulidis,
Zoi Tsilogianni,
Sotirios Kotoulas,
Christophoros Kotoulas,
Efstratios Koletsis,
Ilias Stylianos Iliadis,
Konstantinos Spiliotopoulos,
Georgia Trakada,
Lemonia Veletza,
Anastasios Kallianos,
Theodora Tsiouda,
Christoforos Kosmidis,
Wolfgang Hohenforst-Schmidt,
Haidong Huang,
Rainer Haussmann,
Erich Haussmann,
Manfred Dahm

Affiliations

Konstantinos Grapatsas: Department of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Academic Educational Hospital of Mainz University, Kaiserslautern, Germany; Department of Cardiothoracic Surgery, Iaso General, Athens, Greece
Vasileios Leivaditis: Department of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Academic Educational Hospital of Mainz University, Kaiserslautern, Germany
Paul Zarogoulidis: Pulmonary-Oncology Department, “Theageneio” Cancer Hospital, Thessaloniki, Greece; Corresponding author.
Zoi Tsilogianni: Department of Pulmonology, 401 General Military Hospital, Athens, Greece
Sotirios Kotoulas: Department of Cardiothoracic Surgery, Iaso General, Athens, Greece
Christophoros Kotoulas: Department of Cardiothoracic Surgery, Iaso General, Athens, Greece
Efstratios Koletsis: Department of Cardiothoracic Surgery, Medical School, University Hospital of Patras, Patras, Greece
Ilias Stylianos Iliadis: Department of Cardiothoracic Surgery, Iaso General, Athens, Greece
Konstantinos Spiliotopoulos: Cardiothoracic Services, The Newcastle upon Tyne Hospitals NHS Foundation Trust, UK
Georgia Trakada: Pulmonary-Oncology Department, “Theageneio” Cancer Hospital, Thessaloniki, Greece
Lemonia Veletza: Pulmonary-Oncology Department, “Theageneio” Cancer Hospital, Thessaloniki, Greece
Anastasios Kallianos: Pulmonary-Oncology Department, “Theageneio” Cancer Hospital, Thessaloniki, Greece
Theodora Tsiouda: Pulmonary-Oncology Department, “Theageneio” Cancer Hospital, Thessaloniki, Greece
Christoforos Kosmidis: Surgery Department, “Interbalkan European Medical Center”, Thessaloniki, Greece
Wolfgang Hohenforst-Schmidt: Sana Clinic Group Franken, Department of Cardiology/Pulmonology/Intensive Care/Nephrology, “Hof’’ Clinics, University of Erlangen, Hof, Germany
Haidong Huang: Department of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical University, Shanghai, China
Rainer Haussmann: Department of Anesthesiology, Emergency Care Medicine and Intensive Care Medicine, Westpfalz Klinikum, Academic Educational Hospital of Mainz University, Kaiserslautern, Germany
Erich Haussmann: Department of Anesthesiology, Emergency Care Medicine and Intensive Care Medicine, Westpfalz Klinikum, Academic Educational Hospital of Mainz University, Kaiserslautern, Germany
Manfred Dahm: Department of Anesthesiology, Emergency Care Medicine and Intensive Care Medicine, Westpfalz Klinikum, Academic Educational Hospital of Mainz University, Kaiserslautern, Germany

Journal volume & issue: Vol. 23
pp. 1 – 3

Abstract

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Pulmonary embolism is a common clinical entity related to high mortality. About 200,000 to 300,000 patients die every year due to pulmonary embolism. The purpose of this article is to describe a case of a patient who on the second postoperative day after undergoing thromboembolectomy of the left femoral artery, manifested a massive pulmonary embolism. Due to cardiorespiratory collapse a combined treatment via extracorporeal life support (ECLS) and parallel catheter thrombolysis was decided and performed. By cardiorespiratory improvement and final stabilization the patient was successfully weaned from ECLS and the system was successfully removed. After a reasonable postoperative time the patient was dismissed in good overall condition. Keywords: Pulmonary embolism, Extracorporeal membrane oxygenation, Thrombolysis, Catheter thrombolysis

Published in Respiratory Medicine Case Reports

ISSN: 2213-0071 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the respiratory system
Website: http://www.journals.elsevier.com/respiratory-medicine-case-reports/

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