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Ann Thorac Surg 2006;81:735-737
© 2006 The Society of Thoracic Surgeons

Case report

Rescue Surgical Embolectomy for Fatal Pulmonary Embolism in Patient With Intracranial Hemorrhage

Ikuo Fukuda, MD a , b , * , Kozo Fukui, MD a , Masahito Minakawa, MD a , Masayuki Koyama, MD a , Ikko Ichinoseki, MD a , Yasuyuki Suzuki, MD a

a Department of Surgery, Hirosaki University School of Medicine, Hirosaki, Aomori, Japan
b Department of Cardiovascular Surgery, Tsukuba Medical Center, Tsukuba, Ibaraki, Japan

Accepted for publication October 28, 2004.

* Address correspondence to Dr Fukuda, Department of Surgery, Hirosaki University School of Medicine, 5-Zaifucho, Hirosaki, Aomori, 036–8562 Japan (Email: ikuofuku{at}cc.hirosaki-u.ac.jp).

The incidence of pulmonary embolism is relatively high in stroke patients due to prolonged bed rest, paralysis of the lower extremities, and dehydration. We herein report three cases of pulmonary embolectomy for patients with intracranial hemorrhage. All patients had massive central pulmonary embolism and were in deep shock. The interval between the onset of intracranial bleeding and surgical embolectomy was 7 to 16 days. All patients underwent emergent pulmonary embolectomy using cardiopulmonary bypass and survived without any neurologic exacerbation. Surgical pulmonary embolectomy is a treatment of choice to save patients with massive pulmonary embolism after intracranial hemorrhage.




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[Abstract] [Full Text] [PDF]


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