Pulmonary embolectomy with use of pediatric bronchoscope for the detection of residual emboli: an innovative surgical technique

Pulmonary embolectomy in the treatment of massive pulmonary embolus has been in doubt since the introduction of thrombolytic therapy. Recent indications for surgical intervention are- contraindication to thrombolysis, failed medical treatment and severe Right Ventricular (RV) dysfunction. A 54-year...

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Bibliographic Details
Published inIndian journal of thoracic and cardiovascular surgery Vol. 29; no. 1; pp. 49 - 51
Main Authors Salooja, Manpreet Singh, Mukherji, Kishore Chandra, Shrivastava, Anupam, Singla, Manender Kumar, Saini, Sonia, Parmanik, Sankhadip, Kaur, Pardeep
Format Journal Article
LanguageEnglish
Published India Springer-Verlag 01.03.2013
Subjects
Cardiac Surgery
Innovations
Medicine
Medicine & Public Health
Surgery
Thoracic Surgery
Vascular Surgery
Bronchoscopic
Embolectomy
Pulmonary
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Summary:Pulmonary embolectomy in the treatment of massive pulmonary embolus has been in doubt since the introduction of thrombolytic therapy. Recent indications for surgical intervention are- contraindication to thrombolysis, failed medical treatment and severe Right Ventricular (RV) dysfunction. A 54-year male came to us with complaints of palpitation, tachypnea and repeated syncope . Transthoracic echocardiography and Computed Tomography pulmonary angiogram demonstrated- Biatrial mass with right atrial mass extending into right ventricle and main pulmonary artery. Pulmonary embolectomy was performed. Residual emboli of bilateral pulmonary arteries were detected with a fiberoptic pediatric bronchoscope and removed. Bronchoscopic evaluation appears to be safe and useful for direct visual detection of emboli.
ISSN:0970-9134
0973-7723
DOI:10.1007/s12055-013-0191-7