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Mechanical cardiopulmonary resuscitation for venoarterial ECMO implantation in pulmonary embolism complicated by type B aortic dissection and retroperitoneal hemorrhage
Author(s) -
Maybauer Marc O.,
El Banayosy Aly,
Koerner Michael M.,
Hooker Robert L.,
Swant Laura V.,
Mihu Mircea R.,
Harper Michael D.
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14782
Subject(s) - medicine , cardiopulmonary resuscitation , cardiopulmonary bypass , embolectomy , extracorporeal cardiopulmonary resuscitation , pulmonary embolism , aortic dissection , resuscitation , cardiology , surgery , aorta
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.