CASE REPORTS   

Chirurgia 2007 April;20(2):93-5

Copyright © 2007 EDIZIONI MINERVA MEDICA

language: English

Emergency combined right atrial and pulmonary thromboembolectomy. A case report

Sankar N. M., Vaidyanathan R. K., Sridhar K. S., Srivatsava P. K., Cherian K. M.

Department of Cardiac Surgery International Centre for Cardiothoracic and Vascular Diseases, Frontier Lifeline Mogappair, Chennai, India

Open pulmonary embolectomy is a safe and effective alternative to thrombolysis or catheter thrombectomy in the treatment of major pulmonary embolism. The presence of a large embolus in situ or in the major pulmonary arteries can cause acute hemodynamic compromise. This situation is ideal for surgical resection and is life saving. Patients with contra indications for use of thromblytics and those with RV dysfunction benefit from open pulmonary embolectomy. A 43-year-old male patient presented with massive thormboembolism in the right atrium as well as left pulmonary artery. He underwent a successful combined right atrial and pulmonary thrombo embolectomy.