Korean Circ J.  2008 Apr;38(4):227-229. 10.4070/kcj.2008.38.4.227.

A Case of Percutaneous Catheter Thrombectomy in a Patient With Massive Pulmonary Thromboembolism

• Chung JW
• Lee YS
• Ahn SY
• Kim SY
• Lee JB
• Kim KS

• KMID: 2225825
• DOI: http://doi.org/10.4070/kcj.2008.38.4.227

Abstract

Acute massive pulmonary thromboembolism (PTE) is a life threatening medical condition. Therefore, prompt diagnosis and rapid recovery of the pulmonary flow is essential for decreasing the associated morbidity and mortality. We report here on a case of a 68-year old woman for whom we attempted percutaneous catheter thrombectomy in the treatment of an acute massive PTE.

Keyword

Thrombectomy; Pulmonary embolism

MeSH Terms

Catheters
Female
Humans
Pulmonary Embolism
Thrombectomy

Figure

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  Fig. 1 Electrocardiography. A: the electrocardiography on admission showed T wave inversions in leads I and aVL. B: the electrocardiography done at the time of the sudden onset of dyspnea revealed ST elevation in V1-3.

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  Fig. 2 Pulmonary artery angiogram. A: the pulmonary artery angiogram showed massive thromboembolism at the left main pulmonary artery (arrow) without distal flow. B: after percutaneous catheter thrombectomy, the opacity and distal flow was improved, but a large thrombus (arrow) remained at the left main pulmonary artery.

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  Fig. 3 A large amount of thrombus aspirated from the pulmonary artery.

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