We report a case of a young patient presenting concomitant pulmonary artery embolism and an intra-aortic thrombus occluding the left subclavian artery due to a patent foramen ovale. This patient was treated under short circulatory arrest and unilateral cerebral perfusion allowing aortic and pulmonary embolectomy and closure of the small PFO. Follow up was uneventful so this case shows a success...

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...

A case report of a patient with malignant renal neoplasm who underwent emergency pulmonary embolectomy during operation is presented. Knowledge of degree of venous extension, appropriate operative positioning of the patient and consideration of elective cardiopulmonary bypass are suggested ways to reduce morbidity and mortality from massive pulmonary emboli in these patients.

Surgical embolectomy for pulmonary embolism and intracardiac thrombus is a rare but occasionally required procedure that should be considered when anticoagulation and/or thrombolytic therapy is contraindicated or failed. We describe a patient with massive pulmonary embolism and a large, mobile, snake-like thrombus in the right atrium, as well as a patent foramen ovale, treated successfully by s...

Paradoxical embolization of venous thrombus into the abdominal aortic bifurcation has been diagnosed by means of aortography. Lower limb phlebothrombosis accounting for the embolus formation has been demonstrated by phlebography. Arterial embolectomy and venous thrombectomy were successfully performed. Recovery was complete without sequelae.

The current report describes a patient with pulmonary embolism, treated unsuccessfully with heparin. Transthoracic echocardiography revealed free-floating right heart thrombus. Migrating deep vein thrombus to the right heart was suspected. Transesophageal echocardiography confirmed origin of the thrombus in the inferior cava vein. Mortality rate of mobile right heart thrombus is over 40%, there...

Compartment syndrome is commonly seen following lower extremity ischemia. However, upper extremities' compartment syndrome, especially after any vascular surgical procedures, is infrequent. Herein we report a case of an acute forearm compartment syndrome that was developed after delayed brachial artery 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...

A case of haemorrhagic pulmonary oedema after successful pulmonary embolectomy is presented. The relevant literature is reviewed. Thirteen cases are analysed as well as the four survivors. The aetiology appears to be ischaemic damage of the capillary bed. This had previously been called incomplete infarction by Castleman. The incidence is low after acute pulmonary embolectomies but appears to b...

The case of a 31-year-old Negro who had had two admissions to the hospital at which pulmonary emboli were diagnosed is reported. On his third admission with chest pain, hemoptysis, and dyspnea, chest roentgenograms revealed increased pulmonary vascular markings on the right and a prominent pulmonary artery which was sharply cut off. ECG changes were typical of pulmonary artery obstruction and p...