Publication Date
1-1-2024
Journal
The Texas Heart Journal
DOI
10.14503/THIJ-24-8425
PMID
39588359
Publication Date(s)
July-December, 2024
Language
English
PMCID
PMC11586476
PubMedCentral® Posted Date
11-25-2024
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
Humans, Pulmonary Embolism, Extracorporeal Membrane Oxygenation, Male, Adult, Shock, Cardiogenic, Embolectomy, Acute Disease, Treatment Outcome, Pulmonary embolism; extracorporeal membrane oxygenation; shock, cardiogenic
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Abstract
This article reports the case of a 42-year-old man who presented with a saddle pulmonary embolus complicated by normotensive cardiogenic shock. The patient was first stabilized with venoarterial extracorporeal membrane oxygenation. Then, while the patient was still on extracorporeal membrane oxygenation, thrombectomy with a large-bore catheter device was performed that resulted in a large decrease in pulmonary artery pressures and a clinically significant increase in cardiac index, with rapid clinical improvement. Complete recovery of the patient's cardiopulmonary status has been maintained at intermediate-term follow-up. This treatment strategy should be considered favorably in the treatment of patients presenting with pulmonary embolism complicated by cardiogenic shock.