Successful thrombolytic therapy with recombinant tissue-type plasminogen activator for massive pulmonary embolism -A case report-
نویسندگان
چکیده
Massive pulmonary embolism is associated with significant perioperative morbidity and mortality. We report here on a case of a 69-year-old man who suffered a massive pulmonary embolism with pulseless electrical activity during knee arthroscopic surgery. After a diagnosis was made by performing transthoracic echocardiography, the patient was treated with recombinant tissue-type plasminogen activator. The patient was transferred to the intensive care unit after his hemodynamic status improved. The patient went on to make a full cardiopulmonary recovery without any complications.
منابع مشابه
Rapid resolution of acute cor pulmonale with recombinant tissue plasminogen activator.
A case of massive pulmonary embolism complicated by acute cor pulmonale and shock is presented. The IV administration of recombinant tissue-type plasminogen activator (rt-PA) was associated with prompt reversal of clinical, ECG, and nuclear radiographic findings. The role of thrombolytic therapy with rt-PA for massive pulmonary embolism associated with hemodynamic decompensation deserves furthe...
متن کاملA successful thrombolysis with tissue-type plasminogen activator in a case of pulmonary embolism after failed streptokinase therapy Başarısız streptokinaz tedavisi sonrası pulmoner embolili bir olguda doku tipi plasminojen aktivatör ile başarılı tromboliz
Alt ekstremite derin ven trombozuna bağlı oluşan akut, masif pulmoner emboli tanısı konmuş 76 yaşında erkek hastada ciddi kardiyovasküler ve solunumsal instabilite gelişti. Takiben hastaya iki saat süreyle streptokinaz infüzyonu verildi. Trombolitik tedavi sonrası hemodinamik kararsızlığın devam etmesi üzerine, spiral bilgisayarlı tomografi çekildi. Bilgisayarlı tomografi, masif pulmoner emboli...
متن کاملSub-Massive Pulmonary Embolism with Large Intra-Cardiac Bi-Atrial Thrombi Successfully Treated with Systemic Thrombolytic Therapy
Herein we report a case of 46-year-old male patient who was presented with chest pain and dyspnea and was diagnosed with sub-massive pulmonary embolism (PE) and intra-cardiac bi-atrial thrombus, echocardiography showed decreased right ventricular systolic function. Following treatment with 100 mg tissue plasminogen activator (tPA), the patient reported clinical improvement, in addition to impro...
متن کاملLow-dose tissue plasminogen activator in the treatment of a massive pulmonary thromboembolism in a colon cancer patient treated with bevacizumab: A case report
The current study describes the fibrinolytic treatment of a patient exhibiting an acute massive pulmonary thromboembolism, who was also receiving a bevacizumab-based combination regimen for metastatic colon cancer. The administration of bevacizumab has been associated with an increased risk of venous thromboembolic events and bleeding in cancer patients. However, there is insufficient data rega...
متن کاملA clinical study investigating the three months prognosis of patients with ischemic stroke treated with recombinant tissue plasminogen activator (rt-PA) and its effective factors
Objective: Currently, treating ischemic stroke by intravenous thrombolytic therapy has acceptable results in patients with stroke. This study aimed to evaluate the three months prognosis of patients treated with recombinant tissue plasminogen activator (rt-PA).Methods: This cross-sectional prospective study was conducted on 30 patients with cerebral ischemic stroke with the National Insti...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 59 شماره
صفحات -
تاریخ انتشار 2010