[Anesthesiological and resuscitation problems in the surgical treatment of acute massive pulmonary thromboembolisms]

Eleven patients operated on under extracorporal circulation (ECC) following acutely occurring massive pulmonary emboli were studied. The values of the following parameters were registered: pulmonary artery pressure, pulmonary capillary wedge pressure, intrapulmonary shunt and pulmonary vascular resistance. The measurements were carried out before the surgical procedure and in the postoperative period. The authors defend the opinion that the accurate and timely diagnostics and the correct perioperative management has crucial importance for the determination of the moment for surgical treatment and its successful outcome.