M. DeRenzo: J Extra Corpor Technol 2025, 57, 171--173 173 risk for the PTE procedure. The surgery itself proceeded uneventfully; however, was unsuccessful and the patient required ECMO. While ECMO has proved beneficial in the past, this patient did not improve, and the family chose to withdraw care. The pulmonary hemorrhage seen in this case was a rare occurrence that complicated the overall outcome.
Funding This case report did not receive any specific funding.
Conflicts of interest The author declared no conflicts of interest.
Data availability statement All available data are incorporated into the article.
Author contribution statement
All portions of this case report were performed by the MD. Editor support was provided by EM. PhD, CCP, LP.
Ethics approval
This case report is institutional review board exempt. Ethics approval is not required.
References
1. Kelava M, Koprivanac M, Smedira N, et al. Extracorporeal membrane oxygenation in pulmonary endarterectomy patients. J Cardiothorac Vasc Anesth. 2019; 33:60--69. https:// doi. org / 10.1053 / j. jvca. 2018.06.025.
2. Madani MM. Surgical treatment of chronic thromboembolic pulmonary hypertension: pulmonary thromboendarterectomy. Methodist Debakey Cardiovasc J. 2016; 12( 4): 213. https:// journal. houstonmethodist. org / article / 10.14797 / mdcj-12-4-213 /.
3. UC San Diego Health. Pulmonary Thromboendarterectomy( PTE) for CTEPH. 2024. Available from: https:// health. ucsd. edu / care / heart-vascular / pulmonary-hypertension / pte /.
4. Cleveland Clinic. Pulmonary Thromboendarterectomy( PTE). 2022. Available from: https:// my. clevelandclinic. org / health / treatments / 21024-pulmonary-thromboendarterectomy-surgery.
5. Roscoe AJ, Hwang NC. Pulmonary thromboendarterectomy and pulmonary haemorrhage. Ann Card Anaesth. 2022; 25( 2): 200-- 201. Available from: https:// www. ncbi. nlm. nih. gov / pmc / articles / PMC9244268 /.
6. McNair E, Marcoux JA, Bally Cet al. Bivalirudin as an adjunctive anticoagulant to heparin in the treatment of heparin resistance during cardiopulmonary bypass-assisted cardiac surgery. Perfusion. 2016; 31( 3): 189--199. https:// doi. org / 10.1177 / 0267659115583525.
7. Butt SP, Razzaq N, Saleem Y, Cook B, Abdulaziz S. Improving ECMO therapy: Monitoring oxygenator functionality and identifying key indicators, factors, and considerations for changeout. J Extra Corpor Technol. 2024; 56( 1): 20--29. https:// www. ncbi. nlm. nih. gov / pmc / articles / PMC10941833 /.
Cite this article as: DeRenzo M. Pulmonary thrombectomy and extracorporeal membrane oxygenation: a case study. J Extra Corpor Technol 2025, 57, 171--173. https:// doi. org / 10.1051 / ject / 2025024.