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...

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...

D istal embolization (DE) occurs frequently during femoropopliteal (FP) interventions. Treatment of FP atherosclerotic lesions with balloon angioplasty, stenting, atherectomy, embolectomy, or catheter-directed lysis is likely to yield significant debris.1-11 Despite a high rate of DE reaching 100% in some reports,3,10 data suggest that only 2% to 3% of patients will eventually require additiona...

A patient is described in whom clinical presentation, V/Q scan, and pulmonary angiogram were consistent with pulmonary embolus. No improvement occurred despite therapy with heparin. When sent for surgical embolectomy, sarcoma of the pulmonary artery was diagnosed. This entity, though rare, should be considered in the differential diagnosis of pulmonary vascular disease.

Airway foreign body aspiration in children can lead to accidental death, due the itself or removal procedure. Depending on its location, of be challenging. Here, we present a case successful from left upper lobar bronchus via ventilating bronchoscopy with rigid bronchoscope and Fogarty arterial embolectomy catheter. Tracheobronchial bodies locations that are difficult reach forceps, an acute an...