| Ongoing role of pulmonary embolectomy. | |
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MedLine Citation:
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PMID: 3228760 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pulmonary embolism remains a frequent and often fatal disorder. For the majority of patients, anticoagulation with heparin followed by warfarin represents the primary mode of treatment. Thrombolytic therapy is recommended for the patient with massive pulmonary embolism that has produced hypotension. Embolectomy is reserved for the patient with post embolic systemic hypotension who has an absolute contraindication to thrombolysis or who deteriorates despite thrombolytic therapy. Following successful embolectomy the surgeon must treat the complications of the surgery and prevent recurrence. Complications include cerebral infarction, pulmonary infarction and endobronchial hemorrhage, right ventricular failure, local or systemic bleeding and venous stasis. A case of successful pulmonary embolectomy with a complicated postoperative course is presented and the pathophysiology and treatment of the complications are discussed. |
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Authors:
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R G Masters; A Koshal; L A Higginson; W J Keon |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Canadian journal of cardiology Volume: 4 ISSN: 0828-282X ISO Abbreviation: Can J Cardiol Publication Date: 1988 Oct |
Date Detail:
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Created Date: 1989-04-19 Completed Date: 1989-04-19 Revised Date: 2008-04-09 |
Medline Journal Info:
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Nlm Unique ID: 8510280 Medline TA: Can J Cardiol Country: CANADA |
Other Details:
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Languages: eng Pagination: 347-51 Citation Subset: IM |
Affiliation:
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University of Ottawa Heart Institute, Ottawa Civic Hospital, Ontario. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adrenal Gland Diseases
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etiology Chest Pain / etiology Dyspnea / etiology Female Heparin / adverse effects, therapeutic use Humans Hypotension / etiology Middle Aged Pain / etiology Postoperative Complications* Pulmonary Embolism / surgery* Syncope / etiology Warfarin / therapeutic use |
| Chemical | |
Reg. No./Substance:
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81-81-2/Warfarin; 9005-49-6/Heparin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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