Successful systemic thrombolysis in a patient with massive pulmonary thromboembolism after prolonged cardio pulmonary and cerebral resuscitation. Case report

  • Gustavo Chicangana Anesthesiology, Universidad de Caldas, Manizales, Colombia
  • Lorena Zapata SES Hospital de Caldas, Manizales, Colombia
  • Juan Camilo Gómez Graduate Program of Anesthesiology, Universidad de Caldas, Manizales, Colombia
  • Juan Pablo Zuluaga SES Hospital de Caldas, Manizales, Colombia
Keywords: Pulmonary embolism, Fibrinolytic agents, Fibrinolysis, Heart arrest, Thrombolytic therapy

Abstract

Massive pulmonary thromboembolism is a condition with high morbidity and mortality if not treated early. A case of a young man with a history of knee trauma that was admitted to the emergency department with sudden dyspnea and syncope is discussed. During the clinical evaluation the patient experienced 5 episodes of cardiac arrest that required prolonged cardiopulmonary-cerebral resuscitation. The diagnosis of massive pulmonary thromboembolism was confirmed by echocardiography and thoracic CT angiography. Although prolonged cardiopulmonary-cerebral resuscitation is a relative contraindication for systemic thrombolysis, the patient experienced remarkable clinical improvement with no sequelae upon hospital discharge.

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How to Cite
1.
Chicangana G, Zapata L, Gómez JC, Zuluaga JP. Successful systemic thrombolysis in a patient with massive pulmonary thromboembolism after prolonged cardio pulmonary and cerebral resuscitation. Case report. Colomb. J. Anesthesiol. [Internet]. 2016 Jul. 1 [cited 2022 Oct. 3];44(3):245-8. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/379

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Published
2016-07-01
How to Cite
1.
Chicangana G, Zapata L, Gómez JC, Zuluaga JP. Successful systemic thrombolysis in a patient with massive pulmonary thromboembolism after prolonged cardio pulmonary and cerebral resuscitation. Case report. Colomb. J. Anesthesiol. [Internet]. 2016 Jul. 1 [cited 2022 Oct. 3];44(3):245-8. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/379
Section
Case Report / Case Series