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KMID : 0368119950250051045
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Korean Circulation Journal
1995 Volume.25 No. 5 p.1045 ~ p.1050
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Acute Massive Pulmonary Thromboembolism Occupying Bothe Whole Pulmonary Arteries
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Abstract
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Massive pulmonary embolism is a major cause of morbidity and death in hospital. Most ekpisodes of acute pulmonary embolism ocurred from multiple emboli. When pulmonary embolism is suspected, the definitive diagnosis is pulmonary arteriography,
but
high
degree of certainty can also be achieved with ventilation-perfusion scanning. The therapeutic modalities available for patients with acute pulmonary embolism are prophylatic and definitive therapy. Prophylatic therapy including anticoagulant with
heparin is used to prevent further emboli episodes that might be fatal Definitive therapy for pulmonary embolism including thrombolytic agents and pulmonary embolectomy attempts to dissolve and remove the resolution of the pathophysiologic
sequelae
of
pulmonary embolism.
We experienced a case of acute massive pulmonary embolism which occupied the pulmonary arteries bilaterally. Patient with orthopedic surgery one month before developed dyspnea and chest tightness. Eventhough continuing enough amount of
anticoagulant
therapy, rapid hemodynamic deterioration and severe hypoxia occurred progressively. Urgent pulmonary embolectomy was succeeded and he has been followed up at out patient department.
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KEYWORD
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