Surgical experience of subacute pulmonary thromboembolism with severe pulmonary hypertension.
Surgical treatment for subacute pulmonary arterial thromboembolism has previously been considered to be inappropriate. We undertook a pulmonary arterial thrombectomy and removal of a floating right heart thrombus in a patient who had been symptomatic for over a month. The pulmonary arterial pressure, which had been equal to the systemic pressure preoperatively, decreased gradually and almost normalized one month postoperatively. Pulmonary perfusion scintigraphy revealed a dramatic improvement and the patient returned to normal life activities.
Department of Thoracic and Cardiovascular Surgery, Chiba-Hokusoh Hospital, Nippon Medical School, Chiba, Japan.
Yuji
Y
Maruyama
Shigeo
S
Yamauchi
Hidetsugu
H
Ogasawara
Hajime
H
Imura
Masami
M
Ochi
Kazuo
K
Shimizu
D002407:Catheterization, Swan-Ganz; D006325:Heart Atria; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology / Q000601:surgery*; D017131:Thrombectomy; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014463:Ultrasonography