Since the first report of successful "late" embolectomy for recurrent pulmonary embolism,' a number of patients have been described with significant pulmonary hypertension where clinical improvement associated with lowering of pulmonary artery pressure has followed removal of extensive, well-organised thrombo-embolic material from major pulmonary vessels.2 The following case history illustrates...

Germ cell tumours tend to affect young adults and with advanced treatments achieve more than 90% cure rates. Over the years cisplatin has significantly improved the relapse free survival in these patients, hence forming an essential component of chemotherapy regimes. But, the thrombo-embolic complications suffered with cisplatin significantly affect the quality of life in these young patients.W...

Methods Reduction of RV wall stress was accomplished by pulmonary endarterectomy (PEA), which is the surgical removal of thrombo-emboli out of the pulmonary arteries. In 13 consecutive patients with CTEPH, MRI myocardial tagging (29 ms temporal resolution) was applied before and after PEA (fig 1). For the left ventricular (LV) free wall, septum (S) and RV free wall, the time to peak (Tpeak) of ...

Abraham, Salzberg, and Balter (1954) have called pulmonary thrombo-embolism the commonest chest disease of adult patients in hospital. Routine necropsy series indicate its incidence to be as high as 25% (T'owbin, 1954). To the chagrin of clinicians its ubiquity is matched by the difficulties encountered in its antemortem diagnosis. The classical syndrome of chest pain, haemoptysis, friction rub...

Reports of the autopsy incidence of pulmonary embolism in non-surgical general hospital patients’ especially those with coronary heart disease23 have resulted in increasing use of anticoagulant therapy in “medical” patients. The autopsy incidence of pulmonary embolism in patients dying with active tuberculosis has not been stressed in comparable fashion. In a previous report4 I have discussed t...

Current treatment of life threatening venous thrombo-embolism (VTE) has been based on general concepts dating to the early 1900s. In this manuscript a general overview of current diagnostic and therapeutic methods of VTE is presented along with the Emory University Affiliated Hospitals’ experience of the surgical treatment of life threatening VTE. We retrospectively analyzed the data of twenty-...