Right ventricular blowout rupture complicating cardiopulmonary resuscitation in a patient with acute pulmonary embolism

Right ventricular blowout rupture complicating cardiopulmonary resuscitation in a patient with acute pulmonary embolism

Just 28 min after the collapse, the patient deteriorated to pulseless electrical activity, and manual cardiopulmonary resuscitation (CPR) was initiated. The possible mechanism of the right ventricular rupture in this case was the increase in intracardiac pressure due to chest compression in the sett...

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Veröffentlicht in:BMJ case reports 2021-08, Vol.14 (8), p.e245520
Hauptverfasser: Yonezawa, Naoki, Takei, Tetsuhiro, Fujisawa, Michiko
Format: Artikel
Sprache:eng
Schlagworte:
Acute Disease
Cardiopulmonary Resuscitation
Case reports
CPR
Extracorporeal membrane oxygenation
Humans
Images In
Injuries
Ischemia
Lifesaving
Pulmonary arteries
Pulmonary Embolism - diagnostic imaging
Pulmonary Embolism - etiology
Pulmonary embolisms
Thromboembolism
Veins & arteries
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creator Yonezawa, Naoki
Takei, Tetsuhiro
Fujisawa, Michiko
description Just 28 min after the collapse, the patient deteriorated to pulseless electrical activity, and manual cardiopulmonary resuscitation (CPR) was initiated. The possible mechanism of the right ventricular rupture in this case was the increase in intracardiac pressure due to chest compression in the setting of acute massive pulmonary embolism.2 3 Direct compression of the right heart during chest compression, concurrent with the obstruction of right ventricular outflow due to giant thrombi, may produce excessive intracardiac pressure. Circulation 1976; 53: 562–4. doi:10.1161/01.CIR.53.3.562 http://www.ncbi.nlm.nih.gov/pubmed/1248089 4 Kempen PM, Allgood R. Right ventricular rupture during closed-chest cardiopulmonary resuscitation after pneumonectomy with pericardiotomy: a case report.
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Acute Disease
Cardiopulmonary Resuscitation
Case reports
CPR
Extracorporeal membrane oxygenation
Humans
Images In
Injuries
Ischemia
Lifesaving
Pulmonary arteries
Pulmonary Embolism - diagnostic imaging
Pulmonary Embolism - etiology
Pulmonary embolisms
Thromboembolism
Veins & arteries
title Right ventricular blowout rupture complicating cardiopulmonary resuscitation in a patient with acute pulmonary embolism
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