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[Direct pulmonary embolectomy without extracorporeal circulation. 5 cases].
Presse Medicale (Paris, France : 1983)
|April 16, 1983
Summary
This study demonstrates successful pulmonary embolectomy without cardiopulmonary bypass in five patients with complete right pulmonary artery obstruction. Excellent outcomes were achieved with no post-operative complications, highlighting a viable surgical option when fibrinolytic therapy is contraindicated.
Area of Science:
- Cardiovascular Surgery
- Pulmonary Medicine
- Interventional Cardiology
Background:
- Pulmonary embolism (PE) can cause severe obstruction of pulmonary arteries.
- Cardiopulmonary bypass is often used in surgical embolectomy but carries risks.
- Fibrinolytic therapy may be contraindicated in certain PE patients.
Purpose of the Study:
- To evaluate the efficacy and safety of pulmonary embolectomy without cardiopulmonary bypass.
- To assess outcomes in patients with complete obstruction of the right pulmonary artery.
Main Methods:
- Retrospective analysis of five patients undergoing pulmonary embolectomy.
- Surgical approach: Thoracotomy via right lateral incision.
- Procedure: Complete removal of the embolus without cardiopulmonary bypass.
Main Results:
- All five patients had complete obstruction of the right pulmonary artery.
- No patient required cardiopulmonary bypass during the procedure.
- Complete embolus removal was achieved in all cases.
- No post-operative complications were reported.
Conclusions:
- Pulmonary embolectomy without cardiopulmonary bypass is a safe and effective treatment for selected patients with acute massive PE.
- This technique offers excellent outcomes and can be performed when fibrinolytic agents are contraindicated.