John L C, Awad W I, Anderson D R
Department of Cardiothoracic Surgery, Guy's Hospital, London, United Kingdom.
Ann Thorac Surg. 1995 Nov;60(5):1404-6. doi: 10.1016/0003-4975(95)00496-8.
A glue embolization of a cerebral arteriovenous malformation in a 3-year-old boy was complicated by a massive pulmonary embolus due to glue entering the venous circulation. Attempted pulmonary embolectomy via pulmonary arteriotomy after emergency cardiopulmonary bypass was unsuccessful. However, retrograde flushing of the pulmonary veins with cold saline solution produced large quantities of embolus through the pulmonary arteriotomy. Bypass was discontinued uneventfully with no residual cardiopulmonary problems.
一名3岁男孩的脑动静脉畸形进行胶水栓塞时,因胶水进入静脉循环而并发大规模肺栓塞。在紧急体外循环后尝试通过肺动脉切开术进行肺栓子切除术未成功。然而,用冷盐溶液逆行冲洗肺静脉通过肺动脉切开术产生了大量栓子。体外循环顺利停止,无残留心肺问题。