RT Journal Article
SR Electronic
T1 Emergent Surgical Embolectomy for Massive Pulmonary Embolism Causing Intraoperative Cardiac Arrest
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 183
OP 187
DO 10.31486/toj.17.0067
VO 18
IS 2
A1 Best Anyama
A1 Omar Viswanath
A1 Carolina De La Cuesta
A1 Murlikrishna Kannan
A1 Michael Wittels
A1 Steve Xydas
A1 Alan David Kaye
A1 David A. Farcy
YR 2018
UL http://www.ochsnerjournal.org/content/18/2/183.abstract
AB Background: A massive pulmonary embolism (PE) is associated with high mortality once cardiac arrest occurs. Surgical embolectomy is indicated in patients who have massive PE.Case Report: A 62-year-old male emergently underwent surgical embolectomy after sustaining an intraoperative cardiac arrest caused by a massive PE during an open reduction with internal fixation of a closed comminuted midshaft tibia fracture. Postoperatively, the patient developed pulmonary hypertension and acute renal failure. He was treated with aerosolized epoprostenol for right ventricular strain secondary to pulmonary hypertension. He survived the hospital course and was discharged without any other major complications.Conclusion: Surgical embolectomy is a viable option for massive PE, and aerosolized epoprostenol can be used as adjuvant treatment for right ventricular strain secondary to acute pulmonary hypertension.