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TISSUE PLASMINOGEN ACTIVATOR AND CARDIOPULMONARY BYPASS FOR MASSIVE PULMONARY EMBOLUS
Author(s) -
Frizelle F. A.,
Massey R.,
Feint J. A.,
Xabregas A. A.
Publication year - 1991
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1991.tb00193.x
Subject(s) - medicine , cardiopulmonary bypass , embolectomy , fibrinolysis , pulmonary embolus , cardiorespiratory fitness , pulmonary embolism , embolus , cardiology , plasminogen activator , pathological , intensive care medicine
Massive pulmonary embolus resulting in cardiac arrest and doubtful cerebral status may result in indecision as to whether to proceed to pulmonary embolectomy, especially if there is continuing cardiorespiratory instability. A case is reported on the use of fibrinolysis and cardiopulmonary bypass, allowing for the cerebral status of the patient to become more clearly defined while maintaining cardiopulmonary stability and attempting to treat the underlying pathological process.