Embolectomy for Chronic Pulmonary Embolism and Hypertension

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Embolectomy for chronic pulmonary embolism and hypertension.

The case of a 31-year-old Negro who had had two admissions to the hospital at which pulmonary emboli were diagnosed is reported. On his third admission with chest pain, hemoptysis, and dyspnea, chest roentgenograms revealed increased pulmonary vascular markings on the right and a prominent pulmonary artery which was sharply cut off. ECG changes were typical of pulmonary artery obstruction and p...

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Chronic Thromboembolic Pulmonary Hypertension after Pulmonary Embolism, Thrombolysis, Catheter Fragmentation, and Embolectomy

A 21-year-old male patient with massive acute pulmonary embolism was treated by thrombolysis, interventional thrombus fragmentation, and surgical pulmonary embolectomy. Within the following 2 years, the patient developed progressive dyspnea at exertion. Chronic thromboembolic pulmonary hypertension was diagnosed by right-heart catheter, VQ scan, magnetic resonance, and conventional pulmonary an...

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Fatal massive haemoptysis after embolectomy for chronic pulmonary embolism.

Since the first report of successful "late" embolectomy for recurrent pulmonary embolism,' a number of patients have been described with significant pulmonary hypertension where clinical improvement associated with lowering of pulmonary artery pressure has followed removal of extensive, well-organised thrombo-embolic material from major pulmonary vessels.2 The following case history illustrates...

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Surgical embolectomy for acute massive pulmonary embolism.

OBJECTIVE Acute massive pulmonary embolism (PE) is associated with significant mortality rate despite diagnostic and therapeutic advances. The aim of this study was to analyze our clinical outcomes of patients with acute massive PE who underwent emergency surgical pulmonary embolectomy. METHODS This retrospective study included 13 consecutive patients undergoing emergency surgical pulmonary e...

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Massive pulmonary embolism: the place for embolectomy

Untreated massive pulmonary embolism is associated with a high mortality. Pulmonary embolectomy has been largely superceded by thrombolytic therapy, but there are cases in which pulmonary embolectomy remains the treatment of choice. We present three case reports and discuss the merits of the various treatments available for massive pulmonary embolism. The primary treatment of massive pulmonary ...

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ژورنال

عنوان ژورنال: Circulation

سال: 1970

ISSN: 0009-7322,1524-4539

DOI: 10.1161/01.cir.41.4.701