Journal of the Bahrain Medical Society
Year 2022, Volume 34, Issue 4, Pages 57-61
http://doi.org/10.26715/jbms.34_4_10Mehtash Butt1,*, Rashad Al Qasim2, Dhafer M Kamal3
1Senior Resident, department of anesthesia & ICU, Royal medical services Bahrain defense forces hospital. PO Box 50710; Tel: 0097336681277; E-mail: dr.mehtashbutt@yahoo.com
2Senior consultant, Department of anesthesia & ICU, Royal medical services Bahrain defense forces hospital. Add: Villa 248, Road 4303, Block 943; Tel: 0097333336970; E-mail: bahrainrashadalqasim@hotmail.com
3Surgeon, Bahrain Defense Force Royal Medical Services Associate Professor of Surgery, The Royal College of Surgeons of Ireland - Medical University of Bahrain. Add: Villa 2473G, Road 4575, Block 745, Sanad, Kingdom of Bahrain. Tel: 0097336466300; E-mail: dhaferkamal@hotmail.com
*Corresponding author: Dr. Mehtash Butt, Senior Resident, department of anesthesia & ICU, Royal medical services Bahrain defense forces hospital. PO Box 50710, Tel: 0097336681277; E-mail: dr.mehtashbutt@yahoo.com
Received date: April 19, 2022; Accepted date: August 30, 2022; Published date: December 31, 2022
For tables and figures, please refer to PDF.
Abstract
This case report describes an incident of MPE during lower limb endovascular pharmaco-mechanical thrombectomy under sedation, which was immediately identified and promptly managed with cardiopulmonary resuscitation. After return of spontaneous circulation, ECMO was initiated, as her haemodynamics were unstable, and MPE was diagnosed based on transoesophageal echocardiography findings. During intensive care unit stay, she was successfully weaned off from ECMO and ventilatory support. However, the patient developed right-sided body weakness. Echocardiography showed a patent foramen ovale, and stroke due to paradoxical embolism was diagnosed. She was transferred to the ward in a stable condition and later discharged home.
Abbreviations: MPE: Massive pulmonary embolism, ECMO: extracorporeal membrane oxygenation.
Keywords: MPE: Massive pulmonary embolism, ECMO: extracorporeal membrane oxygenation, PFO: patent foramen ovale, PMT: pharmaco-mechanical thrombectomy, Sedation