Successful resuscitation of acute type A aortic dissection with pulmonary embolism using long-term venoarterial extracorporeal membrane oxygenation: a case report
Acute aortic dissection (AAD) and pulmonary embolism (PE) are two critical and potentially fatal causes of chest pain. The simultaneous occurrence of these conditions is exceptionally rare; however, when they co-occur, the conflicting therapeutic strategies required significantly elevate mortality r...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1530566/full |
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| author | Guiwei Zhu Wenhui Yue Yanmin Li Haiqing Wang Jianqiang Li Xin Zhou Qinghai Zhang Jihong Zhang |
| author_facet | Guiwei Zhu Wenhui Yue Yanmin Li Haiqing Wang Jianqiang Li Xin Zhou Qinghai Zhang Jihong Zhang |
| author_sort | Guiwei Zhu |
| collection | DOAJ |
| description | Acute aortic dissection (AAD) and pulmonary embolism (PE) are two critical and potentially fatal causes of chest pain. The simultaneous occurrence of these conditions is exceptionally rare; however, when they co-occur, the conflicting therapeutic strategies required significantly elevate mortality rates. While venoarterial extracorporeal membrane oxygenation (VA-ECMO) has been extensively reported as a life-saving intervention for high-risk pulmonary embolism, its application in the management of AAD remains highly debated. Recently, our institution successfully employed VA-ECMO to treat a patient with acute type A aortic dissection (ATAAD) complicated by PE. This case highlights that VA-ECMO may serve as a crucial life-saving measure for patients with AAD who present with hemodynamic instability or cardiac arrest. |
| format | Article |
| id | doaj-art-dd7a18031abe4b11a08ef6b73ee701b1 |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-dd7a18031abe4b11a08ef6b73ee701b12025-01-29T06:45:39ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011210.3389/fmed.2025.15305661530566Successful resuscitation of acute type A aortic dissection with pulmonary embolism using long-term venoarterial extracorporeal membrane oxygenation: a case reportGuiwei Zhu0Wenhui Yue1Yanmin Li2Haiqing Wang3Jianqiang Li4Xin Zhou5Qinghai Zhang6Jihong Zhang7Department of Critical Care Medicine, Weifang People’s Hospital, Weifang, ShandongDepartment of Hand and Foot Orthopedic Surgery, Weifang People’s Hospital, Weifang, Shandong, ChinaOffice of Medical Affairs, Weifang People’s Hospital, Weifang, Shandong, ChinaDepartment of Critical Care Medicine, Weifang People’s Hospital, Weifang, ShandongDepartment of Critical Care Medicine, Weifang People’s Hospital, Weifang, ShandongOffice of Medical Affairs, Weifang People’s Hospital, Weifang, Shandong, ChinaDepartment of Critical Care Medicine, Weifang People’s Hospital, Weifang, ShandongDepartment of Critical Care Medicine, Weifang People’s Hospital, Weifang, ShandongAcute aortic dissection (AAD) and pulmonary embolism (PE) are two critical and potentially fatal causes of chest pain. The simultaneous occurrence of these conditions is exceptionally rare; however, when they co-occur, the conflicting therapeutic strategies required significantly elevate mortality rates. While venoarterial extracorporeal membrane oxygenation (VA-ECMO) has been extensively reported as a life-saving intervention for high-risk pulmonary embolism, its application in the management of AAD remains highly debated. Recently, our institution successfully employed VA-ECMO to treat a patient with acute type A aortic dissection (ATAAD) complicated by PE. This case highlights that VA-ECMO may serve as a crucial life-saving measure for patients with AAD who present with hemodynamic instability or cardiac arrest.https://www.frontiersin.org/articles/10.3389/fmed.2025.1530566/fullacute type A aortic dissectionpulmonary embolismveno-arterial extracorporeal membrane oxygenationcardiopulmonary arresthemodynamic instabilitycase report |
| spellingShingle | Guiwei Zhu Wenhui Yue Yanmin Li Haiqing Wang Jianqiang Li Xin Zhou Qinghai Zhang Jihong Zhang Successful resuscitation of acute type A aortic dissection with pulmonary embolism using long-term venoarterial extracorporeal membrane oxygenation: a case report Frontiers in Medicine acute type A aortic dissection pulmonary embolism veno-arterial extracorporeal membrane oxygenation cardiopulmonary arrest hemodynamic instability case report |
| title | Successful resuscitation of acute type A aortic dissection with pulmonary embolism using long-term venoarterial extracorporeal membrane oxygenation: a case report |
| title_full | Successful resuscitation of acute type A aortic dissection with pulmonary embolism using long-term venoarterial extracorporeal membrane oxygenation: a case report |
| title_fullStr | Successful resuscitation of acute type A aortic dissection with pulmonary embolism using long-term venoarterial extracorporeal membrane oxygenation: a case report |
| title_full_unstemmed | Successful resuscitation of acute type A aortic dissection with pulmonary embolism using long-term venoarterial extracorporeal membrane oxygenation: a case report |
| title_short | Successful resuscitation of acute type A aortic dissection with pulmonary embolism using long-term venoarterial extracorporeal membrane oxygenation: a case report |
| title_sort | successful resuscitation of acute type a aortic dissection with pulmonary embolism using long term venoarterial extracorporeal membrane oxygenation a case report |
| topic | acute type A aortic dissection pulmonary embolism veno-arterial extracorporeal membrane oxygenation cardiopulmonary arrest hemodynamic instability case report |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1530566/full |
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