Cardiac arrest from massive PE in nephrotic syndrome successfully treated with embolectomy and ECMO

Randi Connor-Schuler; Daniel Hrabec; Julio Pinto Corrales

doi:10.1016/j.rmcr.2018.05.021

Cardiac arrest from massive PE in nephrotic syndrome successfully treated with embolectomy and ECMO

Respir Med Case Rep. 2018 May 18:24:163-164. doi: 10.1016/j.rmcr.2018.05.021. eCollection 2018.

Authors

Randi Connor-Schuler¹, Daniel Hrabec², Julio Pinto Corrales³

Affiliations

¹ Henry Ford Hospital Department of Emergency Medicine, USA.
² Henry Ford Hospital Department of Emergency Medicine/Internal Medicine, USA.
³ Henry Ford Hospital Department of Pulmonary Critical Care Medicine, USA.

Abstract

Pulmonary emboli (PE) are commonly encountered events with presentations ranging from benign incidental findings to obstructive shock. We present a case of a 20 year old male with nephrotic syndrome who suffered complete cardiovascular collapse with cardiac arrest in the setting of a massive PE, requiring open surgical embolectomy and ECMO support. We reviewed the literature on massive PE's focusing on the use of ECMO and success of the rarely performed open embolectomy for the treatment of obstructive shock from a massive PE.

Keywords: ECMO; Embolectomy; Nephrotic syndrome; PE; Shock.

Publication types

Case Reports