Document Detail

Emergency surgical embolectomy for pulmonary emboli after failed thrombolysis.
MedLine Citation:
PMID:  19643857     Owner:  NLM     Status:  MEDLINE    
A 34-year-old man presented in cardiogenic shock secondary to massive pulmonary embolism. Surgical embolectomy was performed after failed thrombolysis. Intraoperatively, a right atrial lesion and pulmonary emboli were removed. Histopathology revealed myxoma complicated by pulmonary emboli. The patient made a good recovery. This case suggests that surgical embolectomy should be considered as first-line treatment for all patients with acute massive pulmonary embolism, and not reserved for those with severe hemodynamic compromise or failed conservative management.
Sharon H L Chu; David Andrews; Yuki Watanabe
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Asian cardiovascular & thoracic annals     Volume:  17     ISSN:  1816-5370     ISO Abbreviation:  Asian Cardiovasc Thorac Ann     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-07-31     Completed Date:  2009-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9503417     Medline TA:  Asian Cardiovasc Thorac Ann     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  297-9     Citation Subset:  IM    
Department of Cardiothoracic Surgery, Royal Perth Hospital, GPO Box X2213, Perth, Western Australia.
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MeSH Terms
Emergency Treatment
Heart Atria / pathology,  surgery
Heart Neoplasms / pathology,  surgery
Myxoma / pathology,  surgery
Pulmonary Embolism / complications,  surgery*
Shock, Cardiogenic / etiology*,  surgery
Thrombolytic Therapy / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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