Pulmonary transplant salvage using ultrasound-assisted thrombolysis of subacute occlusive main pulmonary artery embolus

John R. Spratt, Prashant Shrestha, Gabriel Loor, Jagadish M. Patil, Marshall I. Hertz, Gosta B. Pettersson, Michael S. Rosenberg

Research output: Contribution to journalArticlepeer-review

Abstract

A 53-year-old woman who underwent bilateral lung transplantation 14 months before presented with 2 to 3 weeks of severe exertional dyspnea. Workup revealed a complete embolic occlusion of her left main pulmonary artery related to a femoral deep venous thrombosis. The occlusion did not respond to systemic anticoagulation, and a trial of catheter-directed thrombolysis was pursued. Flow to the left lower lobe was restored after 2 days of thromobolytic therapy. The patient is alive and well at more than 1 year of follow-up.

Original languageEnglish (US)
Pages (from-to)214-216
Number of pages3
JournalInnovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Volume12
Issue number3
DOIs
StatePublished - Jan 1 2017

Keywords

  • Deep vein thrombosis
  • Lung transplantation
  • Pulmonary embolus
  • Thrombolysis.

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