Kosin Med J.  2018 Dec;33(3):477-482. 10.7180/kmj.2018.33.3.477.

A case of rescuing a patient with acute cardiovascular instability from sudden and massive intraoperative pulmonary thromboembolism by extracorporeal membrane oxygenation

Affiliations
  • 1Department of Anesthesiology & pain medicine, Dongtan sacred heart hospital, Hwaseong, Korea. wj131@hallym.or.kr

Abstract

Intraoperative pulmonary thromboembolism is a high mortality situation. Early mortality in patients with pulmonary thromboembolism varies from 2% in normotensive patients to 30% in patients with cardiogenic shock. The use of extracorporeal cardiopulmonary resuscitation can improve survival and neurologic outcomes of cardiac arrest. We report a case of intraoperative massive pulmonary thromboembolism with circulatory collapse and cardiac arrest during anesthesia for pelvic bone fracture surgery, which were rescued by extracorporeal membrane oxygenation.

Keyword

Extracorporeal life support; Extracorporeal membrane oxygenation; Pulmonary thromboembolism
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