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      Pulmonary Transplant Salvage Using Ultrasound-Assisted Thrombolysis of Subacute Occlusive Main Pulmonary Artery Embolus.

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          Abstract

          A 53-year-old woman who underwent bilateral lung transplantation 14 months before presented with 2 to 3 weeks of severe exertional dyspnea. Workup revealed a complete embolic occlusion of her left main pulmonary artery related to a femoral deep venous thrombosis. The occlusion did not respond to systemic anticoagulation, and a trial of catheter-directed thrombolysis was pursued. Flow to the left lower lobe was restored after 2 days of thromobolytic therapy. The patient is alive and well at more than 1 year of follow-up.

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          Author and article information

          Journal
          Innovations (Phila)
          Innovations (Philadelphia, Pa.)
          Ovid Technologies (Wolters Kluwer Health)
          1559-0879
          1556-9845
          May 19 2017
          Affiliations
          [1 ] From the Departments of *Surgery and †Radiology, ‡Division of Cardiothoracic Surgery, Department of Surgery, and §Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine, University of Minnesota, Minneapolis, MN USA; and ||Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH USA.
          Article
          10.1097/IMI.0000000000000371
          28538271
          be1ae69b-40d3-44e1-bbef-b13dc61f1c5a
          History

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