Pulmonary Transplant Salvage Using Ultrasound-Assisted Thrombolysis of Subacute Occlusive Main Pulmonary Artery Embolus-Reference-Cited by-同舟云学术

Pulmonary Transplant Salvage Using Ultrasound-Assisted Thrombolysis of Subacute Occlusive Main Pulmonary Artery Embolus

Published:2017-05 Issue:3 Volume:12 Page:214-216
ISSN:1556-9845
Container-title:Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
language:en
Short-container-title:Innovations�(Phila)

Author:

Spratt John R.¹,Shrestha Prashant²,Loor Gabriel³,Patil Jagadish M.⁴,Hertz Marshall I.⁴,Pettersson Gosta B.⁵,Rosenberg Michael S.²

Affiliation:

1. Department of Surgery, University of Minnesota, Minneapolis, MN USA

2. Department of Radiology, University of Minnesota, Minneapolis, MN USA

3. Division of Cardiothoracic Surgery, Department of Surgery, University of Minnesota, Minneapolis, MN USA

4. Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine, University of Minnesota, Minneapolis, MN USA

5. Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH USA.

Abstract

A 53-year-old woman who underwent bilateral lung transplantation 14 months before presented with 2 to 3 weeks of severe exertional dyspnea. Workup revealed a complete embolic occlusion of her left main pulmonary artery related to a femoral deep venous thrombosis. The occlusion did not respond to systemic anticoagulation, and a trial of catheter-directed thrombolysis was pursued. Flow to the left lower lobe was restored after 2 days of thromobolytic therapy. The patient is alive and well at more than 1 year of follow-up.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery,Pulmonary and Respiratory Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1097/imi.0000000000000371

Reference6 articles.

1. Deep vein thrombosis and pulmonary embolism after solid organ transplantation: an unresolved problem

2. Pulmonary Embolism and Pulmonary Infarction After Lung Transplantation

3. A Prospective, Single-Arm, Multicenter Trial of Ultrasound-Facilitated, Catheter-Directed, Low-Dose Fibrinolysis for Acute Massive and Submassive Pulmonary Embolism

4. Deep venous thrombosis and pulmonary embolism after lung transplantation

5. Catheter Fragmentation and Local Lysis in Two Lung Transplant Patients with Pulmonary Embolism

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