Reports of four surgical treatments of acute pulmonary embolism with a floating thrombus in the right atrium
| Autor: | Takashi Ando, Tokuichiro Nagata, Hiroyuki Abe, Toshiya Kobayashi, Yuka Sakurai, Haruo Makuuchi, Masahide Chikada |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Pulmonary and Respiratory Medicine medicine.medical_specialty Heart Diseases viruses Deep vein Embolectomy stomatognathic system Surgical oncology Humans Medicine Heart Atria Floating thrombus Aged Ultrasonography business.industry Thrombosis social sciences General Medicine Middle Aged medicine.disease Pulmonary embolism Cardiac surgery Surgery Radiography body regions Catheter Treatment Outcome medicine.anatomical_structure Cardiothoracic surgery Acute Disease cardiovascular system Female Radiology Pulmonary Embolism Cardiology and Cardiovascular Medicine business |
| Zdroj: | General Thoracic and Cardiovascular Surgery. 59:705-708 |
| ISSN: | 1863-6713 1863-6705 |
| DOI: | 10.1007/s11748-010-0732-6 |
| Popis: | Acute pulmonary embolism (APE) is a serious disease. Recently, multidetector-row computed tomography (MDCT) has proven to be valuable in detecting APE and deep vein thrombosis. APE is classified as massive, submassive, and nonmassive. The incidence of submassive APE and the number of therapeutic approaches for clinically diagnosed critical submassive APE have both increased. However, most strategies for submassive APE have been conservative, e.g., transvenous catheter pulmonary embolectomy, and there are few reports on surgical pulmonary embolectomy. We examined the surgical outcomes in four cases of submassive APE with a floating thrombus in the right atrium (RA) from August 2003 to July 2008. All patients appeared to have no neurological complications and showed an event-free survival of up to 65 months (37 ± 25 months). Surgical pulmonary embolectomy was effective for submassive APE with a floating thrombus in the RA. |
| Databáze: | OpenAIRE |
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