Pulmonary embolectomy using normothermic venous inflow occlusion

Pulmonary embolectomy using normothermic venous inflow occlusion.

The introduction of cardiopulmonary bypass for the urgent removal of massive pulmonary emboli by Sharp (1962) revolutionized the surgical management of this emergency. More patients were successfully treated in the four years following this than in the preceding 50 years since Trendelenburg's (1908) classical description of pulmonary embolectomy. The use of an extracorporeal circulation, and ac...

Right atriotomy using total venous inflow occlusion for removal of heartworms in a cat.

Heartworm infection with caval syndrome was detected in a thirteen-year-old male cat. However, removal of the heartworms via a jugular venotomy was infeasible because the size of the jugular vein limited our ability to use flexible alligator forceps. Therefore, a right atriotomy using total venous inflow occlusion was performed to remove the heartworms. The procedure was accomplished successful...

Off-pump pulmonary embolectomy.

Pulmonary embolism is a common clinical condition associated with high mortality. Surgical pulmonary embolectomy (SPE), despite having been in existence for over 100 years, is generally regarded as an option of last resort with high mortality rates. Prompt recognition of predictors of mortality, such as right ventricular stress on echocardiography, helps decision-making for immediate surgical p...

Surgical Pulmonary Embolectomy.

Catheter-assisted pulmonary embolectomy.

Case presentation: A 65-year-old man presented to the emergency department after a fall and was diagnosed with a fracture of the right femoral neck. He was scheduled for surgical repair the following day. During positioning for arthroplasty, he developed hypotension, tachycardia, and hypoxia, followed by pulseless electric activity. He was resuscitated and maintained on epinephrine and norepine...