Retrograde Pulmonary Perfusion in Surgical Embolectomy for Massive Pulmonary Embolism.
- Author:
Won Ho CHANG
1
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea. changwh@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Pulmonary embolism;
Embolectomy;
Thoracic surgery
- MeSH:
Cause of Death;
Critical Illness;
Embolectomy*;
Heart Failure;
Hemorrhage;
Humans;
Hypertension, Pulmonary;
Mortality;
Perfusion*;
Pulmonary Artery;
Pulmonary Edema;
Pulmonary Embolism*;
Thoracic Surgery;
Thrombosis
- From:Soonchunhyang Medical Science
2017;23(2):134-136
- CountryRepublic of Korea
- Language:English
-
Abstract:
Mortality rate for pulmonary embolectomy in critically ill patients still ranges from 30% to 45%. The causes of death in these patients are persistent pulmonary hypertension, pulmonary edema, and massive pulmonary hemorrhage. Residual thrombus and air trapping in peripheral pulmonary artery during pulmonary embolectomy can cause intractable right heart failure and persistent pulmonary hypertension. We report a successful extraction of residual thrombus and air bubbles during pulmonary embolectomy by retrograde pulmonary perfusion. Use of this technique could decrease morbidity and mortality from persistent right heart failure after pulmonary embolectomy in critically ill patients.
