Orozco-Hernandez EJ, Matos HE

Language: English
References: 27
Page: 127-130
PDF size: 557.09 Kb.

ABSTRACT

Acute pulmonary thromboembolism is a dangerous event. Mortality has been reported from 25% to 65%. Currently, pulmonary embolectomy is indicated in patients where thrombolysis is contraindicated or failed, as well as in the presence of an impending paradoxical embolism. Surgery is feasible in patients previously by extracorporeal membrane oxygenation. Early thrombus removal decreases right ventricular failure, pulmonary hypertension and promotes recovery. We present a case of massive pulmonary thromboembolism with an image of a thrombus in transit between the two atria through a Patent Foramen Ovale . Pulmonary embolectomy and urgent atrial thrombectomy were performed with excellent outcomes. Direct pulmonary embolectomy is a safe and effective procedure.

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