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Pulmonary embolism: surgery in a hyperbaric chamber

L H Burr, W G Trapp

    The Journal of Thoracic and Cardiovascular Surgery
    |August 1, 1976
    PubMed
    Summary
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    A young man with thrombophlebitis survived a massive pulmonary embolism using embolectomy and hyperbaric oxygenation. This technique provided crucial cardiopulmonary support during the emergency procedure.

    Area of Science:

    • Cardiovascular Medicine
    • Hyperbaric Medicine
    • Surgical Interventions

    Background:

    • Pulmonary embolism (PE) is a life-threatening condition often requiring immediate intervention.
    • Thrombophlebitis increases the risk of developing pulmonary embolism.
    • Massive PE can lead to hypoxia and shock, necessitating advanced life support.

    Observation:

    • A 20-year-old male patient with a history of thrombophlebitis presented with massive pulmonary embolism, hypoxia, and shock.
    • Pulmonary embolectomy was performed to remove the obstruction.
    • Hyperbaric oxygenation was utilized for cardiopulmonary support during the embolectomy procedure.
    • Inferior vena cava ligation was performed postoperatively to prevent recurrent embolism.

    Findings:

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  • Hyperbaric oxygenation proved effective in providing cardiopulmonary support during pulmonary embolectomy.
  • The surgical intervention successfully managed the massive pulmonary embolism.
  • Inferior vena cava ligation was a necessary measure to prevent further embolic events.

    • Implications:

    • Hyperbaric oxygenation represents a viable and effective adjunct for cardiopulmonary support in complex pulmonary embolectomy cases.
    • This case highlights the critical role of timely surgical intervention and supportive therapies in managing massive pulmonary embolism.
    • Inferior vena cava ligation remains an important consideration in preventing recurrence of pulmonary embolism in high-risk patients.