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Surgical embolectomy for acute massive pulmonary embolism
Senol Yavuz1, Faruk Toktas1, Tugrul Goncu1
1Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Education and Research Hospital Bursa 16330, Turkey.
International Journal of Clinical and Experimental Medicine
|February 10, 2015
Summary
Emergency surgical pulmonary embolectomy is a viable treatment for acute massive pulmonary embolism (PE), offering acceptable outcomes for carefully selected patients. Early intervention improves survival rates in critical PE cases.
Area of Science:
- Cardiology
- Thoracic Surgery
- Pulmonary Medicine
Background:
- Acute massive pulmonary embolism (PE) carries a high mortality rate, challenging current diagnostic and therapeutic strategies.
- Despite advances, managing acute massive PE remains critical, necessitating evaluation of surgical interventions.
Purpose of the Study:
- To analyze the clinical outcomes of emergency surgical pulmonary embolectomy in patients with acute massive PE.
- To assess the efficacy and safety of surgical pulmonary embolectomy for acute massive PE.
Main Methods:
- Retrospective analysis of 13 consecutive patients undergoing emergency surgical pulmonary embolectomy for acute massive PE.
- Review of demographic, preoperative, and postoperative data, including echocardiography and follow-up assessments.
Main Results:
- Surgical pulmonary embolectomy was performed on patients with acute massive PE, including those in cardiogenic shock or with cardiac arrest.
- A survival rate of 76.9% was observed, with significant postoperative reduction in pulmonary pressures and excellent functional recovery at follow-up.
- In-hospital mortality was 23.1%, with an operative mortality of 7.7%.
Conclusions:
- Surgical pulmonary embolectomy is a reasonable therapeutic option for acute massive PE.
- Early surgical intervention in patients with acute massive PE, prior to profound cardiogenic shock or cardiac arrest, yields acceptable results.
- This procedure can lead to significant clinical improvement and favorable long-term outcomes.
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