Acute Massive Pulmonary Thromboembolism Occupying both Whole Pulmonary Arteries
Korean Circulation Journal
; : 1045-1050, 1995.
Article
em Ko
| WPRIM
| ID: wpr-25434
Biblioteca responsável:
WPRO
ABSTRACT
Massive pulmonary embolism is a major cause of morbidity and death in hospital. Most episodes of acute pulmonary embolism occurred from multiple emboli. When pulmonary embolism is suspected, the definitive diagnosis is pulmonary arteriography, but high degree of certainty can also be achieved with ventilation-perfusion scanning. The therapeutic modalities available for patients with acute pulmonary embolism are prophylatic and definitive therapy. Prophylatic therapy including anticoagulant with heparin is used to prevent further emboli episodes that might be fatal. Definitive therapy for pulmonary embolism including thrombolytic agents and pulmonary embolectomy attempts to dissolve and remove the resolution of the pathophysiologic sequelae of pulmonary embolism. We experienced a case of acute massive pulmonary embolism which occupied the pulmonary arteries bilaterally. Patient with orthopedic surgery one month before developedd dyspnea and chest tightness. Eventhough continuing enough amount of anticoagulant therapy, rapid hemodynamic deterioration and severe hypoxia occurred progressively. Urgent pulmonary embolectomy was succeeded and he has been followed up at out patient department.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Ortopedia
/
Artéria Pulmonar
/
Embolia Pulmonar
/
Tórax
/
Angiografia
/
Heparina
/
Embolectomia
/
Diagnóstico
/
Dispneia
/
Fibrinolíticos
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
Ko
Revista:
Korean Circulation Journal
Ano de publicação:
1995
Tipo de documento:
Article