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Updated: Jun 17, 2026
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Simultaneous pulmonary embolectomy and aortic root replacement
B Wei1, K L Steijlen, A S Stewart
1General Surgery, NY Presbyterian Hospital-Columbia, New York, New York, United States. bw2013@columbia.edu
Massive pulmonary embolism (PE) can be fatal. This case study details a successful simultaneous surgery for PE and aortic aneurysm in a lung cancer patient.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Pulmonary Medicine
Background:
- Massive pulmonary embolism (PE) presents with hypotension and cardiogenic shock, indicating right ventricular failure and high mortality.
- Ascending aortic aneurysms pose significant risks, especially in patients with comorbidities.
- Video-assisted thoracoscopic surgery (VATS) for non-small cell lung cancer (NSCLC) can be complicated by thromboembolic events.
Observation:
- A 71-year-old woman with a known ascending aortic aneurysm developed a massive PE post-VATS left upper lobectomy for NSCLC.
Findings:
- The patient underwent a simultaneous pulmonary embolectomy and aortic root replacement.
- This combined surgical approach addressed both the acute PE and the underlying aortic pathology.
Implications:
- Simultaneous pulmonary embolectomy and aortic root replacement is a viable option for complex cases.
- This case highlights the importance of vigilant monitoring for PE in high-risk surgical patients.
- Integrated surgical strategies can improve outcomes in patients with combined cardiovascular and thoracic conditions.
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