Massive Pulmonary Embolism with Cardiac Arrest during Routine Tibial Bypass Surgery

Clayton Hoffman; Nicholas Govsyeyev; Sammy S Siada; Donald L Jacobs

doi:10.1016/j.avsg.2020.11.002

Massive Pulmonary Embolism with Cardiac Arrest during Routine Tibial Bypass Surgery

Ann Vasc Surg. 2021 May:73:509.e15-509.e19. doi: 10.1016/j.avsg.2020.11.002. Epub 2020 Dec 14.

Authors

Clayton Hoffman¹, Nicholas Govsyeyev², Sammy S Siada¹, Donald L Jacobs³

Affiliations

¹ Division of Vascular and Endovascular Surgery, Department of Surgery, University of Colorado, Anschutz Medical Campus, Aurora, CO.
² Department of Surgery, University of Colorado, Anschutz Medical Campus, CPC Research, Aurora, CO.
³ Division of Vascular and Endovascular Surgery, Department of Surgery, University of Colorado, Anschutz Medical Campus, Aurora, CO. Electronic address: donald.l.jacobs@cuanschutz.edu.

PMID: 33333184
DOI: 10.1016/j.avsg.2020.11.002

Abstract

We report the case of a massive pulmonary embolism with intraoperative cardiac arrest in a 48-year-old male during routine surgical tibial bypass successfully managed by catheter-based interventions. Our experience supports the trending shift in pulmonary embolism therapy guidelines to include endovascular approaches and emphasizes the need for vascular surgeons to adapt their training protocols.

Publication types

Case Reports

MeSH terms

Femoral Artery / diagnostic imaging
Femoral Artery / physiopathology
Femoral Artery / surgery*
Heart Arrest / diagnosis
Heart Arrest / etiology*
Heart Arrest / therapy
Humans
Male
Middle Aged
Peripheral Arterial Disease / diagnostic imaging
Peripheral Arterial Disease / physiopathology
Peripheral Arterial Disease / surgery*
Pulmonary Embolism / diagnostic imaging
Pulmonary Embolism / etiology*
Pulmonary Embolism / therapy
Treatment Outcome
Vascular Grafting / adverse effects*
Vascular Patency
Wound Healing