@entity1151 remains an important clinical problem with a high mortality rate. The potential for sudden and fatal hemodynamic deterioration highlights the need for a prompt diagnosis and appropriate intervention. The purpose of the present case report is to describe a successful peri-operative veno-arterial extra corporeal membrane oxygenation (VA-ECMO) implantation for assumed massive @entity1151 associated with high hemodynamic instability and severe @entity519 . A 52-year-old female victim of a motorcycle accident had been operated on for unstable @entity174 that required optimal repair. Despite subcutaneous administration of 40   mg enoxaparin on day 0 and day 1, the @entity1 developed a massive @entity1151 leading to peri-operative pulseless activity. As intravenous thrombolysis was strictly contraindicated, a VA-ECMO was successfully implanted and permitted to stabilize the @entity1 's hemodynamics. The hemodynamic and respiratory status improved by day 3, and the ECMO was removed. A vena cava filter was implanted before successful and definitive stabilization of the femoral @entity174 and the L2 @entity174 on days 4 and 5. The @entity1 was able to be mobilized 2 days after the surgery and was transferred to a rehabilitation ward on day 15. At that time, her cognitive functions had fully recovered. ECMO can provide lifesaving hemodynamic and respiratory support in @entity1 with massive @entity1151 who are too unstable to tolerate other interventions, who have failed other therapies or for whom other therapies are contraindicated.

Peri-operative massive XXXX management: is veno-arterial ECMO a therapeutic option?

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity519 :: ('MESH:D000860', 'Disease') :: ['hypoxemia'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity1151 :: ('MESH:D011655', 'Disease') :: ['Pulmonary embolism', 'pulmonary embolism']
@entity1151 :: (MESH:D011655,Disease) :: ['pulmonary embolism']
