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Korean Journal of Anesthesiology 2008;54(2):204-208.
DOI: https://doi.org/10.4097/kjae.2008.54.2.204   
Anesthetic Management of Acute Massive Pulmonary Embolism after Intracerebral Hemorrhage: A case report.
Jun Pyo Jeon, Hae Wone Chang, Eun Sung Kim
Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. haewon7@catholic.ac.kr
Acute massive pulmonary embolism after intracerebral hemorrhage (ICH) is rare but associated with a high mortality rate. A 44-year-old man presented with acute pulmonary embolism on 38th day after onset of ICH. We tried off-pump pulmonary embolectomy with CPB on stand-by. But, hemodynamic deterioration occurred when right pulmonary artery was clamped after removal of some clots, therefore CPB was rapidly instituted under normothermic beating heart with full heparinization. On pump beating, heart pulmonary embolectomy was performed successfully without adverse events. On postoperative 2nd day, the patient was started on anticoagulation therapy and recovered favorably without any neurologic sequelaes.
Key Words: intracerebral hemorrhage; pulmonary embolectomy; pulmonary embolism
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