학술논문

Mechanical cardiopulmonary resuscitation for venoarterial ECMO implantation in pulmonary embolism complicated by type B aortic dissection and retroperitoneal hemorrhage.
Document Type
Case Study
Source
Journal of Cardiac Surgery. Oct2020, Vol. 35 Issue 10, p2821-2824. 4p. 1 Color Photograph, 2 Black and White Photographs.
Subject
*CARDIOPULMONARY resuscitation
*PULMONARY embolism
*TISSUE plasminogen activator
*AORTIC dissection
*EXTRACORPOREAL membrane oxygenation
*RETROPERITONEUM
*HEMORRHAGE
*CARDIAC arrest
Language
ISSN
0886-0440
Abstract
A patient with acute pulmonary embolism suffered cardiac arrest, received manual and mechanical cardiopulmonary resuscitation and tissue plasminogen activator before extracorporeal cardiopulmonary resuscitation was initiated. She suffered a type B aortic dissection and retroperitoneal hemorrhage secondary to resuscitation measures. This case report describes high-risk anticoagulation management for contradicting treatment goals in preparation for pulmonary embolectomy on cardiopulmonary bypass. [ABSTRACT FROM AUTHOR]