RT Journal Article
SR Electronic
T1 Pulmonary embolectomy for acute massive pulmonary embolism: an analysis of 71 cases.
JF British Heart Journal
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP 196
OP 200
DO 10.1136/hrt.60.3.196
VO 60
IS 3
A1 H H Gray
A1 J M Morgan
A1 M Paneth
A1 G A Miller
YR 1988
UL http://heart.bmj.com/content/60/3/196.abstract
AB Between 1964 and 1986 a total of 71 pulmonary embolectomies were performed for acute massive pulmonary embolism. All patients were severely compromised haemodynamically. Sixteen (64%) of 25 patients who had sustained significant periods of cardiac arrest before operation died. The principal cause of death in this group was severe neurological damage. Five (11%) of the 46 who had not had a cardiac arrest died. The 50 (70%) patients who survived did so largely without morbidity during their hospital admission and in the follow up period. Most were not treated with long term anticoagulants and only two had another embolism. When a patient with acute massive pulmonary embolism is too ill to be given thrombolytic treatment, or when thrombolysis is either contraindicated or too slow in producing benefit, pulmonary embolectomy remains an effective alternative treatment with an acceptable mortality.