title: Surgical management of acute pulmonary artery thromboembolism.
abstract: We operated on a total of twenty-seven patients presenting with acute massive thromboembolism of pulmonary arteries. The patients' mean age amounted to 38.6 ± 9.17 years. The estimated pressure in the pulmonary artery averaged 54.2 ± 7.15 mm Hg. A total of twenty- two thromboembolectomic procedures were performed in the setting of assisted circulation. In five patients embolectomy was carried out from a thoracotomic approach without artificial circulation. The remote period was marked by a relapse of thromboembolism, with the female patient having completely refused to undergo treatment. All the patients remain in a satisfactory condition, with the estimated pressure in the pulmonary artery maintaining at an average level of 27.05 ± 3.11 mm Hg.
authors: Nizhni Novgorod State Medical Academy, Specialized Cardiosurgical Clinical Hospital, Nizhni Novgorod, Russia.
authors: A P
authors: AP
authors: Medvedev
authors: V V
authors: VV
authors: Pichugin
authors: L N
authors: LN
authors: Ivanov
authors: S V
authors: SV
authors: Nemirova
authors: O E
authors: OE
authors: Loguinov
authors: V V
authors: VV
authors: Prytkov
authors: R A
authors: RA
authors: Deryabin
mesh_terms: D000208:Acute Disease; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001794:Blood Pressure; D042241:Early Diagnosis; D017128:Embolectomy / Q000379:methods / Q000401:mortality / Q000534:rehabilitation / Q000592:standards; D005112:Extracorporeal Circulation; D005260:Female; D006801:Humans; D008134:Long-Term Care / Q000379:methods / Q000592:standards; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D011652:Pulmonary Circulation / Q000187:drug effects; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000401:mortality / Q000503:physiopathology / Q000601:surgery; D011859:Radiography; D020379:Risk Adjustment; D012307:Risk Factors; D055502:Secondary Prevention; D013908:Thoracotomy; D016896:Treatment Outcome; D014463:Ultrasonography; D016306:Vena Cava Filters
chemical_list: D000925:Anticoagulants