1. Pulmonary Transplant Salvage Using Ultrasound-Assisted Thrombolysis of Subacute Occlusive Main Pulmonary Artery Embolus
- Author
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Gösta B. Pettersson, Prashant Shrestha, Gabriel Loor, Jagadish M. Patil, Marshall I. Hertz, Michael S. Rosenberg, and John R. Spratt
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Ultrasonic Therapy ,medicine.medical_treatment ,Embolism ,Pulmonary Artery ,030204 cardiovascular system & hematology ,030230 surgery ,Ultrasound assisted ,03 medical and health sciences ,0302 clinical medicine ,Embolus ,Occlusion ,medicine ,Humans ,Lung transplantation ,Salvage Therapy ,Venous Thrombosis ,business.industry ,Bilateral lung transplantation ,General Medicine ,Thrombolysis ,Femoral Vein ,Middle Aged ,medicine.disease ,Surgery ,Main Pulmonary Artery ,Venous thrombosis ,Female ,Cardiology and Cardiovascular Medicine ,business ,Lung Transplantation - 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.
- Published
- 2017
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