Off-pump open pulmonary embolectomy for major bilateral pulmonary emboli: report of a case.
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.
Moon
Seok-Whan
SW
Department of Thoracic and Cardiovascular Surgery, Kangnam St. Mary Hospital, The Catholic University of Korea, 505 Banpo-dong, Socho-ku, Seoul, 137-701, South Korea.
Jo
Keon-Hyeon
KH
Wang
Young-Pil
YP
Kim
Young-Kyun
YK
Kwon
Oo-Kyeong
OK
D000368:Aged; D002315:Cardiopulmonary Bypass / Q000379:methods*; D017128:Embolectomy / Q000379:methods*; D005260:Female; D006801:Humans; D011655:Pulmonary Embolism / Q000601:surgery*