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KMID : 0364020090420040492
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Korean Journal of Thoracic and Cardiovascular Surgery
2009 Volume.42 No. 4 p.492 ~ p.496
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Pulmonary Embolectomy for Treatment of Pulmonary Embolism
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Park Byung-Joon
Sung Ki-Ick
Kim Jhin-Gook
Shim Young-Mog
Lee Young-Tak
Park Kay-Hyun
Park Pyo-Won
Kim Wook-Sung
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Abstract
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Background :The treatment of acute pulmonary embolism is difficult, and it can be lethal when cardiogenic shock is involved with major pulmonary embolism. In the past, pulmonary embolectomy was considered as the last choice for patients with pulmonary embolism. Accordingly, we analyzed our experience with seven cases of pulmonary embolectomy as an alternative option for the early treatment of pulmonary embolism.
Materials and Methods :A retrospective analysis of medical charts of all patients who underwent pulmonary embolectomy at our hospital over the past eight years was performed. The patients were observed during their hospital stay and followed until their last visit to the outpatient department.
Results :Among 7 patients (4 men and 3 women), 4 had massive pulmonary embolism, and 3 had submassive pulmonary embolism. An extracorporeal membrane oxygenator was inserted in 3 patients before surgery. There was no mortality, and postoperative echocardiography showed no pulmonary hypertension in 6 patients.
Conclusion :Pulmonary embolectomy can be performed with minimal mortality. We think that the use of an extracorporeal membrane oxygenator in patients with cardiogenic shock before surgery improves survival. (Korean J Thorac Cardiovasc Surg 2009;42:492-496)
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KEYWORD
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Pulmonary embolism, Extracorporeal membrane oxygenation, Embolectomy
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