|
KMID : 1214920170230020134
|
|
Soonchunhyang Medical Science
2017 Volume.23 No. 2 p.134 ~ p.136
|
|
|
Retrograde Pulmonary Perfusion in Surgical Embolectomy for Massive Pulmonary Embolism
|
|
Chang Won-Ho
|
|
|
Abstract
|
|
|
|
Mortality rate for pulmonary embolectomy in critically ill patients still ranges from 30% to 45%. The causes of death in these patients are persistent pulmonary hypertension, pulmonary edema, and massive pulmonary hemorrhage. Residual thrombus and air trapping in peripheral pulmonary artery during pulmonary embolectomy can cause intractable right heart failure and persistent pulmonary hypertension. We report a successful extraction of residual thrombus and air bubbles during pulmonary embolectomy by retrograde pulmonary perfusion. Use of this technique could decrease morbidity and mortality from persistent right heart failure after pulmonary embolectomy in critically ill patients.
|
|
|
KEYWORD
|
|
|
Pulmonary embolism, Embolectomy, Thoracic surgery
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|