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ResumenEl tromboembolismo pulmonar masivo es una entidad con alta morbimortalidad si no se trata tempranamente. Se expone el caso de un hombre joven con antecedente de trauma en rodilla, quien ingresa al servicio de urgencias por cuadro súbito de disnea y síncope; durante la evaluación clínica presenta 5 episodios de paro cardiaco con requerimiento de reanimación cardiocerebropulmonar prolongada; se confirma el diagnóstico de tromboembolismo pulmonar masivo mediante ecocardiografía y angioTAC de tórax. A pesar que la reanimación cardiocerebropulmonar prolongada se considera una contraindicación relativa para la trombólisis sistémica, esta fue administrada, con notoria mejoría clínica, sin ninguna secuela al alta hospitalaria.AbstractMassive pulmonary thromboembolism is an entity with significant morbidity and mortality if not treated early. We describe the case of a young man with a history of knee trauma who was admitted to the emergency room complaining of sudden onset of dyspnea and syncope. During clinical evaluation, he had 5 episodes of cardiac arrest and required prolonged cardio pulmonary and cerebral resuscitation, the diagnosis of massive pulmonary thromboembolism was confirmed by echocardiography and computed tomographic pulmonary angiography. Despite prolonged cardio pulmonary and cerebral resuscitation is considered a relative contraindication to systemic thrombolysis, latter was performed, with remarkable clinical improvement without sequelae at discharge

colombian journal of anesthesiology

Trombólisis sistémica exitosa en un paciente con tromboembolismo pulmonar masivo, luego de reanimación cardiocerebropulmonar prolongada. Informe de caso