medigraphic.com
ISSN 2448-5640 (Impreso)
Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2019, Número 4

<< Anterior Siguiente >>

Cir Card Mex 2019; 4 (4)


Surgical Embolectomy for Acute Pulmonary and Biatrial Embolism. Et vita in foraminis. Case report

Orozco-Hernandez EJ, Matos HE

Idioma: Ingles.
Referencias bibliográficas: 27
Paginas: 127-130
Archivo PDF: 557.09 Kb.


RESUMEN

El tromboembolismo pulmonar agudo es un evento peligroso. La mortalidad ha sido reportada entre 25% y 50%. Actualmente, la embolectomía pulmonar está indicada en pacientes en los cuales la trombolisis está contraindicada o ha fallado, así como ante la presencia de emboliso paradójico. La cirugía es factible en pacientes que han tenido previamente ECMO. La remoción temprana del trombo disminuye el riesgo de falla ventricular derecha, hipertensión pulmonar, y facilita la recuperación. Presentamos aquí el caso de un tromboembolismo pulmonar masivo con una imagen de trombo en tránsito entre las dos aurículas a través de un defecto del septum interauricular. Se realizaron las correspondientes embolectomía pulmonar y trombectomía auricular en forma urgente con excelentes resultados. La embolectomía pulmonar directa es un procedimiento seguro y efectivo.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Hidalgo-Torico I, Fletcher-Sanfeliu D, Enriquez F, Padrol D, Tarrio-FernandezE, Saez de Ibarra JI. Impending paradoxical embolus after massive pulmonarythromboembolism. Cir Cardiovasc 2019;26:175-8. [article in Spanish].

  2. Agnelli G, Becatini C, Kirschtein T. Thrombolysis vs heparine in the treatment ofpulmonary embolism: a clinical outcome –based meta-analysis. Arch Intern Med2002;162: 2537-41.

  3. Yuan R, Yuan R. Neither not here: impeding paradoxical embolism. Am J Med2014;127:1169-71.

  4. Abad-Arranz M, Jara-Palomares L, Martos-Maine JL, Carrasco-Hernandez L, Ortega-Ruiz F, Otero-Candelera R. Pulmonary embolism and concomitant paradoxicalembolism. A case report. Arch Bronconeumol 2014;50:120-2.

  5. Myers PO, Bounameaux H, Panos A, Lerch R, Kalangos A. Impeding paradoxicalembolism: Systematic review of prognosis factors and treatment. Chest 2010;137:164-70.

  6. Seo WW, Kim SE, Parks MS, et al. Systematic review of treatment for trappedthrombus in patent foramen ovale. Korean Circ J. 2017;47:776-85.

  7. Beckman MG, Hooper WC, Critchley SE, Ortel TL. Venous Thromboembolism: apublic health concern. Am J Prev Med 2010; 38(4 suppl): S495-S501.

  8. Fukuda I, Daitoku K. Surgical Embolectomy for Acute Pulmonary Thromboembolism.Ann Vasc Dis 2017; 10: 107-14.

  9. Konstantinides SV. 2014 ESC Guidelines on the diagnosis and management ofacute pulmonary embolism. Eur Heart J 2014;35: 3145-6.

  10. Kearon C, Aki EA, Ornelas J, et al. Antithrombotic therapy for VTE disease:CHEST guideline and Expert Panel Report. Chest 2016;149:315-52.

  11. Weinberg A, Tapson F, Ramzy D. Massive pulmonary embolism: extracorporealmembrane oxygenation and surgical pulmonary embolectomy. Semin Respir CritCare Med 2017;38:66-72.

  12. Yusuff HO, Zochios V, Vuylsteke A. Extracorporeal membrane oxygenation inacute massive pulmonary embolism: a systematic review. Perfusion 2015;30:611-6.

  13. Takahashi H, Okada K, Matsumori M, et al. Aggressive surgical treatment of acutepulmonary embolism with circulatory collapse. Ann Thorac Surg 2012; 94:785-91.

  14. Sakuma M, Nakamura M, Yamada N, et al. Percutaneous cardiopulmonary supportfor the treatment of acute pulmonary embolism: summarized review of theliterature in Japan including our own experience. Ann Vasc Dis 2009; 2: 7-16.

  15. Kuo WT, Gould MK, Louie JD, et al. Catheter – directed therapy for the treatmentof massive pulmonary embolism: systematic review and meta-analysis of moderntechniques. J Vasc Interv Radiol 2009; 20:1431-40.

  16. Wan S, Quinlan DJ, Agnelli G, et al. Thrombolysis compared with heparin forthe initial treatment of pulmonary embolism: a meta-analysis of the randomizedcontrolled trials. Circulation 2004; 110:744-9.

  17. Chatterjee S, Chakraborty A, Weinberg I, et al. Thrombolysis for pulmonary embolismand risk of all-cause mortality, major bleeding, and intracranial hemorrhage:a meta-analysis. JAMA 2014;311: 2414-21.

  18. Jaff MR, McMurtry MS, Archer SL, et al; American Heart Association Council onCardiopulmonary, Critical Care, Perioperative and Resuscitation; American HeartAssociation Council on Peripheral Vascular Disease; American Heart AssociationCouncil on Arteriosclerosism Thrombosis and Vascular Biology. Management ofmassive and submassive pulmonary embolism, iliofemoral deep vein thrombosis,and chronic thromboembolic pulmonary hypertension: a scientific statement fromthe American Heart Association. Circulation 2011;123: 1788-830.

  19. Konstantinides SV, Torbicki A, Agnelli G, et al; Task force for the diagnosis andmanagement of acute pulmonary embolism of the European Society of Cardiology.2014 ESC guidelines on the diagnosis and management of acute pulmonaryembolism. Eur Heart J 2014;35: 3033-69.

  20. Yavuz S, Toktas F, Goncu T, et al. Surgical embolectomy for acute massive pulmonaryembolism. Int J Clin Exp Med 2014;7:5362-75.

  21. Provenzal A, Blanco P, Nomura JT. Impeding Paradoxical Embolism. J EmergMed. 2015; 48:466-7.

  22. Fauveau E, Cohen A, Bonnet N, Gacern K, Lardoux H. Surgical or medical treatmentfor thrombus straddling the patent foramen ovale: Impeding paradoxical embolism?Report of four clinical cases and literature review. Arch Cardiovasc Dis2008;101:637-44.

  23. Amirghofran AA, Emami Nia A, Javan R. Surgical embolectomy in acute massivepulmonary embolism. Asian Cardiovasc Thorac Ann 2007;15: 149-53.

  24. Sadaba JR, Greco E, Alvarez LA, et al. The Surgical option in the management ofacute pulmonary embolism. J Card Surg 2005; 23: 729-32.

  25. Stein PD, Matta F. Pulmonary embolectomy in ederly patients. Ann J Med 2014;127: 348-50.

  26. Kalra R, Bajaj NS, Arora P, et al. Surgical embolectomy for acute pulmonary embolism:systematic review and comprehensive meta-analysis. Ann Thorac Surg2017;103: 982-90.

  27. Meneveau N, Seronde MF, Blonde MC, et al. Management of unsuccessfulthrombolysis in acute massive pulmonary embolism. Chest 2006; 129:1043-50.




2020     |     www.medigraphic.com