Successful systemic thrombolysis in a patient with massive pulmonary thromboembolism after prolonged cardio pulmonary and cerebral resuscitation. Case report

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• 作者：Gustavo Chicangana^a ; ^{gustavochicangana@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Lorena Zapata^b ; Juan Camilo G&oacute ; mez^c ; Juan Pablo Zuluaga^d
• 关键词：Pulmonary embolism ; Fibrinolytic agents ; Fibrinolysis ; Heart arrest ; Thrombolytic therapy
• 刊名：Colombian Journal of Anesthesiology
• 出版年：2016
• 出版时间：July-September 2016
• 年：2016
• 卷：44
• 期：3
• 页码：245-248
• 全文大小：933 K

文摘

Massive pulmonary thromboembolism is a condition with high morbidity and mortality if not treated early. A case of a young man with a history of knee trauma that was admitted to the emergency department with sudden dyspnea and syncope is discussed. During the clinical evaluation the patient experienced 5 episodes of cardiac arrest that required prolonged cardiopulmonary-cerebral resuscitation. The diagnosis of massive pulmonary thromboembolism was confirmed by echocardiography and thoracic CT angiography. Although prolonged cardiopulmonary-cerebral resuscitation is a relative contraindication for systemic thrombolysis, the patient experienced remarkable clinical improvement with no sequelae upon hospital discharge.