Massive Pulmonary Embolism With Liver Injury Associated With Chest Compressions During Cardiac Resuscitation

被引:4
作者
Yamasaki, Manabu [1 ]
Misumi, Hiroyasu [1 ]
Abe, Kohei [1 ]
Kuwauchi, Shintaro [1 ]
Ito, Joji [1 ]
Kawazoe, Kohei [1 ]
机构
[1] St Lukes Int Hosp, Dept Cardiovasc Surg, Tokyo 1048560, Japan
关键词
CARDIOPULMONARY-RESUSCITATION; COMPLICATIONS;
D O I
10.1016/j.athoracsur.2013.09.044
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 34-year-old man was admitted to our hospital because of sudden respiratory failure caused by massive pulmonary embolism. After arrival in the hospital, the patient experienced cardiopulmonary arrest, and we promptly initiated percutaneous cardiopulmonary support, in addition to sternal compressions for cardiopulmonary resuscitation. Computed tomography revealed massive pulmonary embolisms and intraperitoneal bleeding due to liver injury. After interventional hemostasis of the hepatic arteries, we performed emergent pulmonary embolectomy and hemostasis of the liver with gauze packing. Absence of further intraperitoneal bleeding was confirmed 2 days later on a second look. The patient was discharged 2 month later without neurologic sequelae. (C) 2014 by The Society of Thoracic Surgeons
引用
收藏
页码:310 / 311
页数:2
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