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Massive pulmonary embolism
Authors:Edward S. Klofas MD  
Affiliation:Emergency Department, Stanford University Medical Center, CA 94305.
Abstract:
An otherwise healthy 48-year-old woman presented in respiratory extremis from massive pulmonary embolism and promptly arrested. She underwent open-chest cardiopulmonary resuscitation followed by portable partial cardiopulmonary bypass and embolectomy but could not be resuscitated. Massive pulmonary embolism is frequently a desperate situation, but aggressive therapy with thrombolysis or embolectomy (in patients with contraindications to thrombolysis) may be lifesaving.
Keywords:Massive pulmonary embolism   thrombolytic therapy   pulmonary embolectomy
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