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CASE REPORT
Year : 2021  |  Volume : 22  |  Issue : 1  |  Page : 45-49

Successful surgical embolectomy for a rapidly deteriorating patient with pulmonary embolism and hemorrhagic stroke


Department of Cardiology and Cardiothoracic Surgery, Heart Hospital, Hamad Medical Corporation, Doha, Qatar

Correspondence Address:
Dr. Mohammed Al-Hijji
Department of Cardiology, Heart Hospital, Hamad Medical Cooperation, Doha
Qatar
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/HEARTVIEWS.HEARTVIEWS_179_20

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Pulmonary embolism (PE) is a life-threatening condition. High-risk PE is defined as pulmonary embolism with either hemodynamic collapse, persistent hypotension, and/or organ hypoperfusion. The overall mortality rate associated with high-risk PE remains at approximately 30%. Intermediate–high risk PE is a new term introduced to identify hemodynamically stable PE patients with evidence of right ventricular dysfunction. Thrombolytics therapy is the first choice for treatment of high-risk PE with hemodynamic instability; however, in a patient who failed thrombolytics or have contraindication to thrombolytics, thrombus removal either with open surgical or catheter embolectomy is a good alternative. We report a case of a patient who presented with hemorrhagic stroke complicated by intermediate–high-risk PE that rapidly deteriorated before undergoing successful surgical embolectomy.


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