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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 1999 February;40(1):135-7

language: English

Sur­gical treat­ment of mas­sive pul­mo­nary embo­lism. A ­case ­report

Poletti G. A., Actis Dato G. M.

From the 2nd ­Chair of Car­diac Sur­gery Uni­ver­sity of ­Turin, ­Turin, ­Italy


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Pul­mo­nary embo­lism is a ­serious com­pli­ca­tion fol­lowing ­trauma and bed ­rest and it rep­re­sents a chal­lenge in the ­prompt diag­nosis and med­ical or sur­gical ­therapy. We ­present a sur­gi­cally ­treated ­patient ­with a mas­sive pul­mo­nary embo­lism (­more ­than 50% of the vas­cular pul­mo­nary bed) ­which ­occurred ­after an infe­rior leg ­trauma ­which ­required a pro­longed bed immo­bil­iza­tion. We ­believe sur­gical inter­ven­tion is the treat­ment of ­choice in ­patients ­with mas­sive pul­mo­nary embo­lism who do not ­respond to fibrin­o­lytic ­therapy. More­over ­prompt sur­gical embo­lec­tomy is man­da­tory to ­have ­more ­chances to ­save the ­patient’s ­life.

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