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Bridging to a delayed pulmonary endarterectomy in massive acute-on-chronic pulmonary thromboembolism: a case report
Miia L Lehtinen1,2, Jussi Ropponen3, Risto Kesävuori4
1Department of Cardiac Surgery, Heart and Lung Center, Helsinki University Hospital, Haartmaninkatu 4, Helsinki, 00290, Finland. miia.l.lehtinen@helsinki.fi.
Background:
Rarely, the first sign of chronic thromboembolic pulmonary hypertension (CTEPH) is acute embolism, an acute-on-chronic event. These patients are challenging: they need emergent care but are not candidates for immediate definitive treatment with pulmonary endarterectomy (PEA) due to their critical condition.
Case Presentation:
We report a patient with massive acute-on-chronic pulmonary thromboembolism leading to cardiogenic shock. We decided on a staged surgical treatment strategy: emergency surgical embolectomy; brindging and stabilization with central veno-arterial extracorporeal membrane oxygenator; and delayed PEA. The patient had full recovery.
Conclusions:
Patients with an undiagnosed CTEPH developing an acute embolism are in a very high risk of facing a complicated recovery and death. A multidisciplinary team effort is warranted. A staged surgical approach with delayed PEA after stabilization seems a reasonable option to manage these rare and complex patients.
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