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Ann Thorac Surg 2011;91:1265-1267. doi:10.1016/j.athoracsur.2010.09.045
© 2011 The Society of Thoracic Surgeons
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Lars O. Conzelmann
Uwe Mehlhorn
Ernst Weigang
Nalan Kayhan
Christian F. Vahl
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Case Reports

Successful Management of Fulminant Pulmonary Embolism Using a Novel Portable Extracorporeal Life Support System

Lars O. Conzelmann, MD*, Uwe Mehlhorn, MD, PhD, Ernst Weigang, MD, PhD, Nalan Kayhan, MD, Christian F. Vahl, MD, PhD

Department of Cardiothoracic and Vascular Surgery, Medical Centre of the Johannes Gutenberg-University Mainz, Mainz, Germany

Accepted for publication September 20, 2010.

* Address correspondence to Dr Conzelmann, Department of Cardiothoracic and Vascular Surgery, Medical Centre of Johannes Gutenberg-University Mainz, Langenbeckstr. 1, Mainz, 55131 Germany (Email: lars.conzelmann{at}gmx.de).

A 46-year-old man presented to the emergency room with pain in his left leg, dyspnea, and general cyanosis. During examination he collapsed and required resuscitation. Under suspicion of pulmonary embolism, a new portable "click 'n run" extracorporeal life support system (LIFEBRIDGE-B2T [Medizintechnik AG, Ampfing, Germany]) was implanted by the femoral vessels under resuscitation within 15 minutes of presentation. The patient was stabilized, despite severe decompensation (pH, 6.8), and could be transferred for a computed tomographic scan, which confirmed massive pulmonary embolism. Still connected to the life support system, the patient was transferred to the operating room. After a pulmonary thrombectomy was performed, the patient recovered without any organ dysfunction. A portable emergency extracorporeal life support may change clinical practice in the treatment of patients with severe hemodynamic deterioration at emergency care hospitals.




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