Surgical treatment and anticoagulant therapy for liver injury due to cardiopulmonary resuscitation with lethal pulmonary embolization: A case report

• DOI: 10.1016/j.ijscr.2023.108556
• Publication Date: 2023-07-21T07:36:32Z
• Authors: Chika Morita; Naoya Matsumoto; Hisato Yamauchi; Nobuhiro Hayashi; Hideki Sakahira; Makoto Takaoka; Tetsuya Sakai
• Keywords: Arterial Embolization

Cardiopulmonary resuscitation (CPR) can sometimes induce organ injury, however, such an occurrence is rare. We herein report a case of liver injury due to CPR with life-threatening pulmonary embolization (PE) that required the patient undergo surgical hemostasis and antithrombotic therapy.A woman in her 70s fell off bicycle. She suffered cardiopulmonary arrest underwent CPR. was diagnosed PE catheter treatment anticoagulant therapy; blood pressure did not increase. Contrast-enhanced computed tomography revealed inferior phrenic artery. Hemostasis could be completely achieved by transcatheter arterial alone. therefore transferred our hospital damage control surgery (DCS). Definitive (DS) performed 33 h after DCS showed right hepatic subcapsular hematoma left hematoma. cut away capsules removed hematomas. There were lacerations oozing under capsule lobe. sutured laceration. At 72 undergoing DS, therapy started. On day 19, discharged home herself without any neurological damage.For PE, both should performed. Antithrombotic started appropriately this accurately identifying laceration suturing it.Hemostasis following DS appropriate effective for management PE.