Pulmonary Embolectomy for Acute Pulmonary Embolism: A Word of Caution.
acute pulmonary embolism
chronic thromboembolic pulmonary hypertension
pulmonary embolectomy
Journal
Annals of vascular diseases
ISSN: 1881-641X
Titre abrégé: Ann Vasc Dis
Pays: Japan
ID NLM: 101471467
Informations de publication
Date de publication:
25 Mar 2020
25 Mar 2020
Historique:
entrez:
11
4
2020
pubmed:
11
4
2020
medline:
11
4
2020
Statut:
ppublish
Résumé
Pulmonary embolectomy is an effective treatment of acute pulmonary embolism (APE) but not for chronic pulmonary thromboembolism. We described surgical experience of two patients with APE in preexistent unidentified chronic pulmonary thromboembolism. One patient who presented with severe hypoxia but stable hemodynamics underwent successful pulmonary endarterectomy for proximal organized thrombus instead of pulmonary embolectomy. The other patient who required extracorporeal membrane oxygenation for severe hypoxia developed right heart failure because of residual distal organized thrombus after pulmonary embolectomy. Clinical and radiographical presentation of APE in chronic pulmonary thromboembolism mimics APE, and thus, candidates of pulmonary embolectomy should be carefully selected.
Identifiants
pubmed: 32273932
doi: 10.3400/avd.cr.19-00089
pmc: PMC7140157
doi:
Types de publication
Journal Article
Langues
eng
Pagination
96-99Informations de copyright
Copyright © 2020 Annals of Vascular Diseases.
Déclaration de conflit d'intérêts
Disclosure StatementAll authors have no conflicts of interest to declare.
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