Percutaneous cardiopulmonary support for pulmonary thromboembolism caused by large uterine leiomyomata.

Masamitsu Kurakazu, Taeko Ueda, Kunihiro Matsuo, Hiroyasu Ishikura, Naoko Kumagai, Toshiyuki Yoshizato, Shingo Miyamoto

Department of Obstetrics and Gynecology, Iizuka Hospital, Iizuka, Japan.

Taiwanese journal of obstetrics & gynecology 2012 Dec

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Acute pulmonary thromboembolism (PTE) is a common illness that causes death and disability. Deep vein thrombosis (DVT) is often found in patients with a large myomatous uterus, and can occasionally result in acute PTE. Here, we describe the achievement of a favorable outcome in a case of acute PTE. The patient presented with acute PTE caused by a large uterine leiomyoma, without DVT of the lower extremities. Percutaneous cardiopulmonary support (PCPS) was used as an adjunct to thrombolytic therapy to treat the right ventricular thrombus with acute PTE. According to emergency practice, PCPS was initiated, and the patient was successfully treated with thrombolytic and anticoagulant therapy associated with total abdominal hysterectomy. This case suggests that PCPS can lead to favorable clinical outcomes in patients with large uterine leiomyomata and severe PTE. Copyright © 2012. Published by Elsevier B.V.

Citation

Masamitsu Kurakazu, Taeko Ueda, Kunihiro Matsuo, Hiroyasu Ishikura, Naoko Kumagai, Toshiyuki Yoshizato, Shingo Miyamoto. Percutaneous cardiopulmonary support for pulmonary thromboembolism caused by large uterine leiomyomata. Taiwanese journal of obstetrics & gynecology. 2012 Dec;51(4):639-42