• Heart, lung & circulation · Apr 2011

    Case Reports

    Adjuvant therapy with methylene blue in the treatment of right ventricular failure after pulmonary embolectomy.

    • Jayashree K Raikhelkar, Federico Milla, Bruce Darrow, and Corey Scurlock.
    • Department of Anesthesiology and Cardiothoracic Surgery, Mount Sinai School of Medicine, New York, NY 10029, USA. Jayashree.Raikhelkar@mountsinai.org
    • Heart Lung Circ. 2011 Apr 1;20(4):234-6.

    AbstractSevere pulmonary embolism often leads to right ventricular failure after surgical embolectomy secondary to ischaemia reperfusion injury and acute lung injury (ALI). Acute right ventricular dysfunction is traditionally treated with inotropes and vasopressors to maintain cardiac output and coronary perfusion as well as selective pulmonary vasodilators to provide right ventricular afterload reduction. We report the first case of utilisation of methylene (MB) in a patient with acute right ventricular failure and vasoplegic shock after surgical pulmonary embolectomy.Copyright © 2010 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand. Published by Elsevier B.V. All rights reserved.

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