Skip to main content

CASE REPORT article

Front. Med.
Sec. Intensive Care Medicine and Anesthesiology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1530566
This article is part of the Research Topic Critical Care Cardiology for Cardiovascular Emergencies View all 10 articles

Successful Resuscitation of Acute Type A Aortic Dissection with Pulmonary Embolism Using Long-Term Venoarterial Extracorporeal Membrane Oxygenation:a case report

Provisionally accepted
Guiwei Zhu Guiwei Zhu 1Wenhui Yue Wenhui Yue 2*Yanmin Li Yanmin Li 3*Haiqing Wang Haiqing Wang 1*Jianqiang LI Jianqiang LI 1*Xin Zhou Xin Zhou 3*Qinghai Zhang Qinghai Zhang 1*Jihong Zhang Jihong Zhang 1*
  • 1 Department of Critical Care Medicine, Weifang People's Hospital, Weifang, Shandong Province, China
  • 2 Department of Hand & Foot Orthopedic Surgery, Weifang People's Hospital, Weifang, Shandong Province, China
  • 3 Office of Medical Affairs, Weifang People's Hospital, Weifang, Shandong Province, China

The final, formatted version of the article will be published soon.

    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.

    Keywords: acute type A aortic dissection1, Pulmonary embolism2, veno-arterial extracorporeal membrane oxygenation3, Cardiopulmonary Arrest4, Hemodynamic Instability5, case report6

    Received: 19 Nov 2024; Accepted: 08 Jan 2025.

    Copyright: © 2025 Zhu, Yue, Li, Wang, LI, Zhou, Zhang and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Wenhui Yue, Department of Hand & Foot Orthopedic Surgery, Weifang People's Hospital, Weifang, 261000, Shandong Province, China
    Yanmin Li, Office of Medical Affairs, Weifang People's Hospital, Weifang, 261000, Shandong Province, China
    Haiqing Wang, Department of Critical Care Medicine, Weifang People's Hospital, Weifang, 261000, Shandong Province, China
    Jianqiang LI, Department of Critical Care Medicine, Weifang People's Hospital, Weifang, 261000, Shandong Province, China
    Xin Zhou, Office of Medical Affairs, Weifang People's Hospital, Weifang, 261000, Shandong Province, China
    Qinghai Zhang, Department of Critical Care Medicine, Weifang People's Hospital, Weifang, 261000, Shandong Province, China
    Jihong Zhang, Department of Critical Care Medicine, Weifang People's Hospital, Weifang, 261000, Shandong Province, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.