Acute massive pulmonary embolism is a life threatening medical emergency resulting in a high mortality rate. Usually, urgent thrombo-embolectomy is performed using double venous cannulation without circulatory arrest. We describe a patient suffering from acute massive pulmonary embolism that was treated by emergency thrombo-embolectomy. Due to back-bleeding the view into the lobar and segmental...

introduction: capnography, is an easy, fast and practical method which its application in the diagnosis of pulmonary thromboendarterectomy (pte) has recently been studied. this study aimed to assess the diagnostic value of end-tidal co2 (etco2) and the alveolar dead space (avds) in the diagnosis of patients suspected to pte who have been referred to the emergency department. materials and metho...

was demonstrated radiologically. Apart from a symptomless mitral stenosis, examination revealed no other abnormality. Nine years previously a right radical mastectomy had been performed for a scirrhous carcinoma; the axillary lymph nodes were tumour-free and a careful follow-up did not show evidence of either local or distant recurrence. At the time of admission the blood picture was as follows...

was demonstrated radiologically. Apart from a symptomless mitral stenosis, examination revealed no other abnormality. Nine years previously a right radical mastectomy had been performed for a scirrhous carcinoma; the axillary lymph nodes were tumour-free and a careful follow-up did not show evidence of either local or distant recurrence. At the time of admission the blood picture was as follows...

Submit Manuscript | http://medcraveonline.com Abbreviations: ICU: Intensive Care Unit; CPCR: Cardiac Pulmonary Cerebral Resuscitation; SAPS: Simplified Acute Physiology Score; APACHE: Acute Physiology and Chronic Health Evaluation; TISS: Therapeutic Intervention Scoring System; HELLP: Hemolysis, Elevated Liver enzymes and Low Platelet Count; ARI: Acute Renal Insufficiency; PE: Pulmonary Embolis...

We evaluated electrocardiographic and echocardiographic changes of 40 patients with pulmonary thrombo-embolism proved by perfusion scintigrams. ECG-changes included sinus tachycardia or absolute tachyarrhythmia de novo, changes type Q1S3T3 and changes in right precordial leads. Analyses of echocardiography included hyperkinesis and then dilatation and apical hypokinesis of right ventricule and ...

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...

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...