A Case Cured of Thromboembolism after Laparoscopic Cholecystectomy with Percutaneous Cardiopulmonary Support System

Hiroshi Nakamura, Kenichi Teramoto, Susumu Takamatsu, Hiroyuki Baba, Ichiro Saeki, Narihide Goseki and Takehisa Iwai

Department 1st Surgery, Tokyo Medical and Dental University

A 69 year-old woman had a laparoscopic cholecystectomy for cholecystolithiasis without complication. On the 1 st postoperative day (1 POD), she deveropped severe dyspnea and cardiac arrest caused by a pulmonary embolism. We started cardiopulmonary resuscitation and anticoagulant therapy as soon as possible, but mechanical ventilation and a high dose of catecholamin were ineffective. Percutaneous cardiopulmonary support (PCPS) was applied for 3 days and her cardiopulmonary function gradually recovered. She discharged on 50 POD without further complication. These findings indicate that PCPS and anticoagulant therapy were effective for her pulmonary embolism.

Key words
pulmonary thromboembolism, laparoscopic cholesystectomy, percutaneous cardiopulmonary support system

Reprint requests
Hiroshi Nakamura Department of Surgery, Tokyo Metropolitan Bokuto Hospital 4-23-15 Kotobashi, Sumida-ku, Tokyo, 130-8575 JAPAN

Accepted
September 19, 2001

To read the PDF file you will need Abobe Reader installed on your computer.