Off-pump open pulmonary embolectomy for major bilateral pulmonary emboli: report of a case.

Abstract:

:Acute massive or submassive pulmonary artery thromboembolism causes sudden hemodynamic deterioration, warranting immediate surgery. We report the case of a 67-year-old woman who suffered a syncopal attack resulting in shock, 3 weeks after undergoing orthopedic surgery. Preoperative radiologic imaging studies, including a lung perfusion scan, chest scan, and venography, showed a major bilateral pulmonary artery embolism (PE) originating from a leg vein. An inferior vena cava filter was inserted preoperatively during the venography. We performed an open pulmonary embolectomy without cardiopulmonary bypass by using a submammary trans-sternal bilateral thoracotomy approach. The patient recovered uneventfully and has been well for 13 months.

journal_name

Surg Today

journal_title

Surgery today

authors

Moon SW,Jo KH,Wang YP,Kim YK,Kwon OK

doi

10.1007/s00595-005-3148-7

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

274-6

issue

3

eissn

0941-1291

issn

1436-2813

journal_volume

36

pub_type

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