Successful Treatment of Pulmonary Embolism Causing Cardiac Arrests With Reteplase During Neurosurgery: A Case Report Publisher



Yousefimazhin E¹ ; Mojtahedzadeh M¹ ; Karballaeimirzahosseini H¹ ; Hassanpour R¹ ; Sharifnia H² ; Najmeddin F¹ ; Ameli A² ; Khademabbasi MJ² ; Fotouhi M¹ ; Etezadi F² ; Khajavi MR² ; Moharari RS² ; Pourfakhr P³ ; Ahmadi A² Show All Authors Show Affiliations
Source: Archives of Anesthesiology and Critical Care Published:2024

Abstract

Pulmonary embolism can cause cardiac arrest. Fibrinolytic therapy and surgical embolectomy can be used to manage it. This case report presents the clinical course of a patient who experienced intraoperative cardiac arrest resulting from massive pulmonary embolism. The patient encountered three instances of cardiac arrest requiring 35 minutes of cardiopulmonary resuscitation. Subsequent treatment involved the administration of reteplase, a thrombolytic agent. Following resuscitation, the patient developed multiple organ dysfunction in the intensive care unit, necessitating the use of diverse medications. Successful resolution of organ dysfunction led to the patient's transfer to the neurosurgery department. This case highlights the complexities involved in managing pulmonary embolism-induced cardiac arrest and subsequent multiorgan dysfunction, emphasizing the significance of a multidisciplinary approach in the comprehensive care and treatment of these patients. © 2024 Tehran University of Medical Sciences.