title: Emergency Pulmonary Embolectomy Using Minimally Invasive Cardiac Surgery.
abstract: A 78-year-old man who had undergone operation for acute type A aortic dissection presented with dyspnea and shock. Chest computed tomography revealed pulmonary embolism. Minimally invasive cardiac surgery was performed through a right fourth intercostal skin incision using cardiopulmonary bypass through the right femoral artery and vein. The right pulmonary artery below the superior vena cava was incised vertically, and the thrombus was extracted directly by balloon catheter. The patient was weaned off cardiopulmonary bypass uneventfully. The postoperative course was also uneventful. In redo cardiac surgery, pulmonary embolectomy through minimally invasive right thoracotomy can be easily performed, with quick recovery.
authors.affiliation: Cardiovascular Surgery Department, Nagoya Tokushukai General Hospital, Kasugai City, Aichi, Japan.
authors.forename: Noriko
authors.initials: N
authors.lastname: Kodani
authors.affiliation: Cardiovascular Surgery Department, Nagoya Tokushukai General Hospital, Kasugai City, Aichi, Japan. Electronic address: o-takeki@nagoya.tokushukai.or.jp.
authors.forename: Takeki
authors.initials: T
authors.lastname: Ohashi
authors.affiliation: Cardiovascular Surgery Department, Nagoya Tokushukai General Hospital, Kasugai City, Aichi, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Iida
authors.affiliation: Cardiovascular Surgery Department, Nagoya Tokushukai General Hospital, Kasugai City, Aichi, Japan.
authors.forename: Souichirou
authors.initials: S
authors.lastname: Kageyama
authors.affiliation: Cardiovascular Surgery Department, Nagoya Tokushukai General Hospital, Kasugai City, Aichi, Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Furui
authors.affiliation: Cardiovascular Surgery Department, Nagoya Tokushukai General Hospital, Kasugai City, Aichi, Japan.
authors.forename: Gaku
authors.initials: G
authors.lastname: Uchino
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods*; D017548:Echocardiography, Transesophageal / Q000379:methods; D017128:Embolectomy / Q000379:methods*; D004630:Emergencies; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D011859:Radiography; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D013908:Thoracotomy / Q000379:methods*; D016896:Treatment Outcome