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Related Experiment Video

Updated: Jun 17, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

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

The Thoracic and Cardiovascular Surgeon
|December 17, 2009
PubMed
Summary
This summary is machine-generated.

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.

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Last Updated: Jun 17, 2026

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Published on: April 24, 2017

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.