1.Open Embolectomy of an Acute Pulmonary Artery Embolism after Pulmonary Lobectomy.
Jae Jun KIM ; Hwan Wook KIM ; Young Pil WANG ; Jae Kil PARK
The Korean Journal of Thoracic and Cardiovascular Surgery 2010;43(4):433-436
Acute massive pulmonary artery embolism after pulmonary resection is very rare, but has a high mortality rate. This is one of the most severe complications after pulmonary resection. Acute pulmonary artery embolism developed suddenly in a patient who underwent lobectomy and was recovering without complications. Because the patient's condition was aggravated after conservative treatment, we did emergency open embolectomy which was successful. Hence, we report this case with a literature review.
Embolectomy
;
Embolism
;
Emergencies
;
Humans
;
Pulmonary Artery
2.A Case of Percutaneous Aspiration Thromboembolectomy of the Common Femoral Artery, Using the PercuSurge GuardWire(TM) System, with a 7 Fr. Guiding Catheter.
Il Hyung CHUNG ; Jang Young KIM ; Hee Sung WANG ; Byung Su YOO ; Seung Hwan LEE ; Junghan YOON ; Kyung Hoon CHOE
Korean Circulation Journal 2004;34(8):804-807
An acute thromboembolism of the peripheral artery is a common complication in patient with inappropriately treated atrial fibrillation. A case of successful recanalization of a thromboembolic occlusion of the left common femoral artery, using the PercuSurge GuardWire(TM) System, with a 7 Fr. guiding catheter, was experienced in a patient with atrial fibrillation.
Arteries
;
Atrial Fibrillation
;
Catheters*
;
Embolectomy
;
Femoral Artery*
;
Humans
;
Thromboembolism
3.Successful Embolectomy of a Migrated Thrombolytic Free-Floating Massive Thrombus Resulting in a Pulmonary Thromboembolism.
Journal of Cardiovascular Ultrasound 2013;21(1):37-39
The optimal treatment for free-floating massive right heart thrombi remains uncertain. However, they appear to increase the risk of mortality compared to the existence of a solitary pulmonary thromboembolism. Thrombolytic therapy has been shown to be effective in most patients, resulting in complete resolution of the massive thrombus and clinical improvement. We report the echocardiographic disappearance of a free-floating right heart thrombus after thrombolysis, however, the thrombus migrated and resulted in pulmonary thromboembolism. It was successfully removed with surgery.
Embolectomy
;
Heart
;
Humans
;
Pulmonary Embolism
;
Thrombolytic Therapy
;
Thrombosis
4.Anesthetic Management of Pulmonary Embolectomy.
Soon Ho NAM ; Chan KIM ; Dae Ja UHM ; Ryoung CHOI
Korean Journal of Anesthesiology 1990;23(1):66-71
It is ironic that John Gibbon's interest in the development of CPB was stimulated by his experience with a fatal case of pulmonary embolism. Massive pulmonary embolism is a siginificant cause of death in hospital, despite improvement in patient management in recent years. In Korea, none of the reports was detailed the anesthetic management of this group of physiologically compromised patients. So we describe an approach to the anesthetic management of a patients with chronic embolic occlusion of the pulmonary artery, who underwent successful pulmonary embolectomy.
Cause of Death
;
Embolectomy*
;
Humans
;
Iron
;
Korea
;
Pulmonary Artery
;
Pulmonary Embolism
5.Anesthetic Management of Acute Massive Pulmonary Embolism after Intracerebral Hemorrhage: A case report.
Jun Pyo JEON ; Hae Wone CHANG ; Eun Sung KIM
Korean Journal of Anesthesiology 2008;54(2):204-208
Acute massive pulmonary embolism after intracerebral hemorrhage (ICH) is rare but associated with a high mortality rate. A 44-year-old man presented with acute pulmonary embolism on 38th day after onset of ICH. We tried off-pump pulmonary embolectomy with CPB on stand-by. But, hemodynamic deterioration occurred when right pulmonary artery was clamped after removal of some clots, therefore CPB was rapidly instituted under normothermic beating heart with full heparinization. On pump beating, heart pulmonary embolectomy was performed successfully without adverse events. On postoperative 2nd day, the patient was started on anticoagulation therapy and recovered favorably without any neurologic sequelaes.
Adult
;
Cerebral Hemorrhage
;
Embolectomy
;
Heart
;
Hemodynamics
;
Heparin
;
Humans
;
Pulmonary Artery
;
Pulmonary Embolism
6.Successful Surgical Treatment of a Right Atrial Myxoma Complicated by Pulmonary Embolism.
Joonho JUNG ; You Sun HONG ; Cheol Joo LEE ; Sang Hyun LIM ; Ho CHOI ; Sungsoo LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2013;46(1):63-67
A 76-year-old woman with hypertension was admitted to the hospital with complaints of chest pain and dyspnea. An echocardiogram and pulmonary computed tomography angiography showed right atrial myxoma complicated with pulmonary thromboembolism. An operation to resect the right atrial myxoma and pulmonary embolism was recommended; however, the patient refused and was discharged with anticoagulation therapy. Two years later, she developed dyspnea. Radiological studies and echocardiography showed similar results with the previous findings. The patient underwent mediastinotomy with resection of the right atrial myxoma and pulmonary embolectomy. As there are few reports on right atrial myxoma complicated with pulmonary embolism, we report a successful case of surgical removal of right atrial myxoma and pulmonary embolism.
Angiography
;
Chest Pain
;
Dyspnea
;
Echocardiography
;
Embolectomy
;
Female
;
Heart Neoplasms
;
Humans
;
Hypertension
;
Myxoma
;
Pulmonary Embolism
7.One-lung Ventilation in a Pediatric Patient: A case report.
Yoo Jin KANG ; Yong Gul LIM ; Ghi Hyun KIM
Korean Journal of Anesthesiology 2005;48(1):104-107
We successfully managed one-lung ventilation in a 5-yr-old boy who underwent thoracoscopic removal of an emphysematosed right lower lobe. We used a 5-French 70 cm balloon-tipped Fogarty embolectomy catheter as a bronchial blocker. Its single lumen, which ends blindly, contains a guidewire and is used to inflate a spherical balloon. First, we threaded the distal end of the blocker through the Murphy hole of a 5.5 cuffed endotracheal tube. The tip of the blocker was adjusted to the end of the endotracheal tube, and the remainder of the blocker was attached closely to the outer wall of the tube and fixed once at the neck of the tube with tape. The tube and catheter were intubated as a set. After intubation, a bronchoscope was introduced through the tube. Under bronchoscopic view, Fogarty catheter was drawn back by 1 2 cm to withdraw the catheter tip from the Murphy hole and then advanced until the balloon tip reached the right main bronchus. With balloon inflation, we were able to achieve satisfactory one-lung ventilation.
Bronchi
;
Bronchoscopes
;
Catheters
;
Embolectomy
;
Humans
;
Inflation, Economic
;
Intubation
;
Male
;
Neck
;
One-Lung Ventilation*
8.Acute Peripheral Arterial Tumorous Embolism after Lung Cancer Surgery.
Yoohwa HWANG ; Hyun Joo LEE ; Young Tae KIM
Korean Journal of Critical Care Medicine 2015;30(3):234-237
Systemic tumor embolisms after pulmonary resections for malignancy are rare, but usually severe and sometimes fatal. Here, we report a case of a 70-year-old woman who underwent pulmonary resection for lung cancer and subsequently developed acute arterial occlusion of the lower extremities caused by a tumorous embolus.
Aged
;
Embolectomy
;
Embolism*
;
Female
;
Femoral Artery
;
Humans
;
Lower Extremity
;
Lung Neoplasms*
;
Lung*
;
Neoplastic Cells, Circulating
9.Emergency Microsurgical Embolectomy for the Treatment of Acute Intracranial Artery Occlusion: Report of Two Cases.
Dae Won KIM ; Sung Jo JANG ; Sung Don KANG
Journal of Clinical Neurology 2011;7(3):159-163
BACKGROUND: The main treatment for acute arterial ischemic stroke is intravenous or intra-arterial thrombolysis within a particular time window. Endovascular mechanical embolectomy is another treatment option in the case of major artery occlusion. Endovascular mechanical embolectomy is a useful technique for restoring blood flow in patients with large-vessel occlusion, and especially in those who are contraindicated for thrombolytics or in whom thrombolytic therapy has failed. CASE REPORT: We report herein two cases of emergency microsurgical embolectomy for the treatment of acute middle cerebral artery and internal carotid artery occlusion as an alternative treatment for major artery occlusion. CONCLUSIONS: Emergency microsurgical mechanical embolectomy may be an alternative treatment option for restoring blood flow in selected patients with large-vessel acute ischemic stroke.
Arteries
;
Carotid Artery, Internal
;
Embolectomy
;
Emergencies
;
Humans
;
Middle Cerebral Artery
;
Stroke
;
Thrombolytic Therapy
10.Improved rat spinal cord injury model using spinal cord compression by percutaneous method.
Wook Hun CHUNG ; Jae Hoon LEE ; Dai Jung CHUNG ; Wo Jong YANG ; A Jin LEE ; Chi Bong CHOI ; Hwa Seok CHANG ; Dae Hyun KIM ; Hyo Jin CHUNG ; Hyun Jung SUH ; Soo Han HWANG ; Hoon HAN ; Sun Hee DO ; Hwi Yool KIM
Journal of Veterinary Science 2013;14(3):329-335
Here, percutaneous spinal cord injury (SCI) methods using a balloon catheter in adult rats are described. A balloon catheter was inserted into the epidural space through the lumbosacral junction and then inflated between T9-T10 for 10min under fluoroscopic guidance. Animals were divided into three groups with respect to inflation volume: 20 microL (n = 18), 50 microL (n = 18) and control (Fogarty catheter inserted but not inflated; n = 10). Neurological assessments were then made based on BBB score, magnetic resonance imaging and histopathology. Both inflation volumes produced complete paralysis. Gradual recovery of motor function occurred when 20 microL was used, but not after 50 microL was applied. In the 50 microL group, all gray and white matter was lost from the center of the lesion. In addition, supramaximal damage was noted, which likely prevented spontaneous recovery. This percutaneous spinal cord compression injury model is simple, rapid with high reproducibility and the potential to serve as a useful tool for investigation of pathophysiology and possible protective treatments of SCI in vivo.
Animals
;
Balloon Embolectomy/*methods
;
Disease Models, Animal
;
Male
;
Rats
;
Rats, Sprague-Dawley
;
Spinal Cord Compression/*therapy