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Heart Lung. 2015 Jul-Aug;44(4):344-6. doi: 10.1016/j.hrtlng.2015.05.001. Epub 2015 May 27.

Emergent echocardiography and extracorporeal membrane oxygenation: Lifesaving in massive pulmonary embolism.

Author information

1
Division of General Internal Medicine, University of Toledo, OH, USA.
2
Division of Cardiovascular Medicine, University of Toledo, College of Medicine, 3000 Arlington Ave., Toledo, OH 43614, USA.
3
Division of Cardiothoracic Surgery, University of Toledo, OH, USA.
4
Division of Cardiovascular Medicine, University of Toledo, College of Medicine, 3000 Arlington Ave., Toledo, OH 43614, USA. Electronic address: Chritopher.Cooper@utoledo.edu.

Abstract

Massive pulmonary embolism is a life-threatening emergency that results in circulatory failure. The main challenges in management are early diagnosis and maintenance of hemodynamic stability. We present a case of a 63-year-old male who was in cardiac arrest. After resuscitation, massive pulmonary embolism was diagnosed with the help of bedside echocardiography and extracorporeal membrane oxygenation (ECMO). We were able to maintain hemodynamic stability and improve hypoxia until the patient underwent embolectomy. This case demonstrates a common presentation of massive pulmonary embolism highlighting the main challenges in its management and the role of echocardiography and ECMO in improving outcomes in such scenarios.

KEYWORDS:

Cardiogenic shock; Echocardiography; Embolectomy; Extracorporeal membrane oxygenation; Pulmonary embolism

PMID:
26025763
DOI:
10.1016/j.hrtlng.2015.05.001
[Indexed for MEDLINE]

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