Successful resuscitation of acute type A aortic dissection with pulmonary embolism using long-term venoarterial extracorporeal membrane oxygenation: a case report

被引：0

作者：

Zhu, Guiwei ^{[1
]}

Yue, Wenhui ^{[2
]}

Li, Yanmin ^{[3
]}

Wang, Haiqing ^{[1
]}

Li, Jianqiang ^{[1
]}

Zhou, Xin ^{[3
]}

Zhang, Qinghai ^{[1
]}

Zhang, Jihong ^{[1
]}

机构：

[1] Weifang Peoples Hosp, Dept Crit Care Med, Weifang, Shandong, Peoples R China

[2] Weifang Peoples Hosp, Dept Hand & Foot Orthoped Surg, Weifang, Shandong, Peoples R China

[3] Weifang Peoples Hosp, Off Med Affairs, Weifang, Shandong, Peoples R China

来源：

FRONTIERS IN MEDICINE | 2025年 / 12卷

关键词：

acute type A aortic dissection; pulmonary embolism; veno-arterial extracorporeal membrane oxygenation; cardiopulmonary arrest; hemodynamic instability; case report; CARDIOPULMONARY-RESUSCITATION;

D O I：

10.3389/fmed.2025.1530566

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute aortic dissection (AAD) and pulmonary embolism (PE) are two critical and potentially fatal causes of chest pain. The simultaneous occurrence of these conditions is exceptionally rare; however, when they co-occur, the conflicting therapeutic strategies required significantly elevate mortality rates. While venoarterial extracorporeal membrane oxygenation (VA-ECMO) has been extensively reported as a life-saving intervention for high-risk pulmonary embolism, its application in the management of AAD remains highly debated. Recently, our institution successfully employed VA-ECMO to treat a patient with acute type A aortic dissection (ATAAD) complicated by PE. This case highlights that VA-ECMO may serve as a crucial life-saving measure for patients with AAD who present with hemodynamic instability or cardiac arrest.

引用

页数：5

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