Acute Massive Pulmonary Embolism with Cardiopulmonary Resuscitation: Management and Results

摘要: Patients who experience hemodynamic collapse after acute massive pulmonary embolism have a poor prognosis. Herein, we report our results with 8 patients and discuss surgical strategy that can improve perioperative survival. From August 1994 through May 2005, consecutive (6 women, 2 men; age range, 27-68 yr) were urgently referred to unit experiencing collapse. All required cardiopulmonary resuscitation. Seven underwent embolectomy. One patient was successfully treated thrombolytic therapy alone under continuous monitoring by the team. There intraoperative deaths (30-day mortality rate, 28.5%). survivor right ventricular assist device. Follow-up of ranged from months years. died embolectomy long-term complications cerebral damage had occurred during preoperative We conclude prompt management improves early survival rates require resuscitation subsequent embolism.