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Acute massive pulmonary embolism treated by thrombo-embolectomy using intermittent deep hypothermic circulatory arrest

Department of Cardiothoracic Surgery, Sint Antonius Hospital, Koekoekslaan, Nieuwegein, The Netherlands

*Corresponding author. Tel.: +31 30 6092104; fax: +31 30 6092120.

E-mail address: w.boven{at}antonius.net (W.-J. Van Boven).

Acute massive pulmonary embolism is a life threatening medical emergency resulting in a high mortality rate. Usually, urgent thrombo-embolectomy is performed using double venous cannulation without circulatory arrest. We describe a patient suffering from acute massive pulmonary embolism that was treated by emergency thrombo-embolectomy. Due to back-bleeding the view into the lobar and segmental pulmonary arteries was severely compromised. In order to achieve complete thrombo-embolectomy, intermittent deep hypothermic circulatory arrest was performed.

Key Words: Acute massive pulmonary embolism; Thrombo-embolectomy; Deep hypothermic circulatory arrest

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