• Ann Thorac Cardiovasc Surg · Aug 2005

    Case Reports

    Surgical treatment of pulmonary embolism with recent intracranial hemorrhage.

    • Hidehito Endo, Hiroshi Kubota, Masaya Sato, and Kenichi Sudo.
    • Department of Cardiovascular Surgery, University of Kyorin, Tokyo, Japan.
    • Ann Thorac Cardiovasc Surg. 2005 Aug 1;11(4):256-9.

    AbstractMassive pulmonary embolism (PE) with concomitant intracranial hemorrhage (ICH) has a high mortality rate. Although thrombolytic therapy is generally accepted as emergent treatment for massive PE, the risk of bleeding complications are significant. A 69-year-old woman presented with acute PE 11 days after onset of ICH. Thrombolysis was deferred, and emergent surgical embolectomy with cardiopulmonary bypass (CPB) was elected. Patient outcome was favorable without recurrence of ICH.

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