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KMID : 0364019700030010031
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Korean Journal of Thoracic and Cardiovascular Surgery
1970 Volume.3 No. 1 p.31 ~ p.37
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Embolectomy in Peripheral Arteries
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鄭永煥/Jung, Young Whan
金共秀/金近鎬/Kim, Kong Soo/Kim, Kun Ho
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Abstract
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This is a report of three cases of successful embolectomy in peripheral arteries.
First case was the patient who received a mitral commissurotomy 8 months ago. In that time, there was no evidence of left atrial thrombosis. He showed an embolism in the middle portion of left brachial artery without complaining of any ischemic pain. Embolectomy was performed 15 days after disappearance of radial pulse and resulted in no return of radial pulse postoperatively.
Second case was a case of an embolism in lower portion of right brachial artery. She complained severe ischemic pain and cyanosis in the right forearm and fingers. She was also in the beginning state of cardiac failure, which was suspected from her hypertension associated with cardiomegaly and arrythmia Embolectomy was performed 17 hours after onset of acute pain. Immediate full pulsation of radial artery was obtained after embolectomy and the acute ischemic symptoms subsided gradually.
Third case was an embolism in superior mesenteric artery which occured 24 hours after pneumonectomy for right bronchogenic carcinoma and the patient suddenly complained diffuse abdominal colicky pain. 7 hours after attack of abdominal pain, embolectomy with extensive resetion of the small intestine was performed with uneventful recovery and without complication, such as short bowel syndrome, postoperatively.
Histopathologically, the embolus was consisted of a tissue of anaplastic cell carcinoma, which was identical to the tumor of the resected right lung. Histological findings of other emboli of first and second case were old thrombus.
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