eComment: Surgical options in emergency pulmonary embolectomy

Surgical Pulmonary Embolectomy.

Surgical pulmonary embolectomy in a community hospital.

BACKGROUND Surgical pulmonary embolectomy (SPE) is indicated for a pulmonary embolism associated with hemodynamic instability. A review of the literature demonstrates that most studies of SPE are conducted at large academic medical centers. This series is from a 325-bed community hospital. METHODS A retrospective chart review was performed of patients undergoing SPE from January 2008 to Decem...

Choriocarcinoma in the pulmonary artery treated with emergency pulmonary embolectomy.

A 42-year-old woman with choriocarcinoma required emergency pulmonary embolectomy under cardiopulmonary bypass. After diagnosis of choriocarcinoma was confirmed by examination of tumor emboli specimens, the patient was treated and had complete remission by chemotherapy over a 6-month period. Although rare, choriocarcinoma should be considered in the differential diagnosis of fertile women prese...

Surgical Embolectomy for Acute Pulmonary Thromboembolism

Acute pulmonary thromboembolism is a catastrophic event, especially for hospitalized patients. The prognosis of pulmonary thromboembolism depends on the degree of pulmonary arterial occlusion. The mortality of massive pulmonary embolism is reportedly as high as 25% without cardiopulmonary arrest and 65% with cardiopulmonary arrest. In patients with unstable hemodynamics due to pulmonary thrombo...

Surgical embolectomy for acute massive pulmonary embolism.

OBJECTIVE Acute massive pulmonary embolism (PE) is associated with significant mortality rate despite diagnostic and therapeutic advances. The aim of this study was to analyze our clinical outcomes of patients with acute massive PE who underwent emergency surgical pulmonary embolectomy. METHODS This retrospective study included 13 consecutive patients undergoing emergency surgical pulmonary e...