Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Successful Resuscitation of Cardiac Arrest with Acute Massive Pulmonary Embolism during Operation Using Percutaneous Cardiopulmonary Support (PCPS) - A case report -

수술 중 발생한 다량의 급성 폐동맥 색전증에 의한 심장 정지의 경피적 심폐 보조를 사용한 성공적 소생 - 1예 보고 -

  • Park, Kyung-Taek (Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Kim, Yeon-Soo (Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Jang, Woo-Ik (Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Kim, Chang-Young (Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Ryoo, Ji-Yoon (Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Kwon, Sung-Uk (Department of Internal Medicine, Ilsan Paik Hospital, College of Medicine, Inje University)
  • 박경택 (인제대학교 의과대학 일산백병원 흉부외과학교실) ;
  • 김연수 (인제대학교 의과대학 일산백병원 흉부외과학교실) ;
  • 장우익 (인제대학교 의과대학 일산백병원 흉부외과학교실) ;
  • 김창영 (인제대학교 의과대학 일산백병원 흉부외과학교실) ;
  • 류지윤 (인제대학교 의과대학 일산백병원 흉부외과학교실) ;
  • 권성욱 (인제대학교 의과대학 일산백병원 내과학교실)
  • Published : 2008.04.05
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Abstract

Since the introduction of extracorporeal cardiopulmonary support of cardiac arrest in 1983, emergent cardiopulmonary support has been used to treat cardiac arrest. Acute massive pulmonary embolism is associated with a high mortality rate and it poses a challenge for both the anesthesiologist and the surgeons especially during operations. This report describes the use of the emergent bypass system in the effective management of an intraoperative massive pulmonary embolism and cardiac arrest in a 56-year-old woman. The patient was discharged on warfarin and there was no recurrence of the pulmonary embolism at the follow-up visit.

심장 정지에 있어서 체외 심폐 보조가 1983년도에 도입된 이래로 심장 정지의 치료에 응급 경피적 심폐 보조가 사용되어 왔다. 다량의 급성 폐동맥 색전증은 사망률이 높고, 특히 수술 중 발생한 경우는 외과의와 마취의에게 힘든 문제를 제기한다. 본 증례는 수술 도중에 발생한 다량의 폐동맥 색전증으로 인한 심장 정지에 대하여 효과적인 치료수단으로써 응급 체외 순환기를 사용한 56세의 여자 환자에 대하여 기술하였다. 환자는 와파린을 복용하면서 퇴원하였고, 패동맥 색전증의 재발없이 외래추적 중이다.

Keywords

References

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