Omran Nedal, Harrer Jan, Brtko Miroslav, Habal Petr, Turek Zdenek, Pojar Marek, Brozik Jan
Department of Cardiac Surgery, Charles University in Prague, Hradec Kralove, Czech Republic.
Heart Surg Forum. 2013 Aug 1;16(4):E205-7. doi: 10.1532/HSF98.20131026.
Bleeding management in cardiac surgery could be a great challenge for the surgeon and a life-threatening moment for the patient. Despite the fact that recombinant activated factor VII is now widely accepted as a useful adjunct in the management of postcardiotomy coagulopathy, its use in the course of recent thromboembolic event is rarely described. We hereby present a case of rescue recombinant activated factor VII administration to manage a severe coagulation disorder during surgical pulmonary embolectomy performed under cardiopulmonary bypass.