Treatment of massive pulmonary embolism: the role of pulmonary embolectomy

AbstractPulmonary embolism is frequently under-recognised in children and, therefore, a high index of suspicion should be exerted on patients with exertional dyspnoea, presyncope/syncope and unexplained cardiopulmonary arrest. We discuss a 10-year-old previously healthy girl who presented with syncope and subsequent cardiac arrest related to massive pulmonary embolism and was salvaged successfully by emergent pulmonary embolectomy.

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The Role of Echocardiography in the Management of Patients with Massive Pulmonary Embolism

Echocardiography ◽

10.1111/j.1540-8175.1997.tb00722.x ◽

1997 ◽

Vol 14 (3) ◽

pp. 277-281 ◽

Cited By ~ 2

Author(s):

KEVIN M. HARRIS ◽

J. CAMERON MUIR ◽

MICHAEL F. HANEY ◽

JONATHAN F. PLEHN

Keyword(s):

Pulmonary Embolism ◽

Massive Pulmonary Embolism

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Outcomes after surgical pulmonary embolectomy for acute submassive and massive pulmonary embolism: A single-center experience

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/j.jtcvs.2017.10.139 ◽

2018 ◽

Vol 155 (3) ◽

pp. 1095-1106.e2 ◽

Cited By ~ 18

Author(s):

Chetan Pasrija ◽

Anthony Kronfli ◽

Michael Rouse ◽

Maxwell Raithel ◽

Gregory J. Bittle ◽

...

Keyword(s):

Pulmonary Embolism ◽

Massive Pulmonary Embolism ◽

Single Center ◽

Pulmonary Embolectomy ◽

Single Center Experience

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Thrombolytic therapy for pulmonary embolism: lessons from recent clinical trials

Australasian Journal of Paramedicine ◽

10.33151/ajp.3.4.341 ◽

2015 ◽

Vol 3 (4) ◽

Author(s):

Lexin Wang

Keyword(s):

Pulmonary Embolism ◽

Thrombolytic Therapy ◽

Clinical Studies ◽

Massive Pulmonary Embolism ◽

Common Disease ◽

Thrombolytic Treatment ◽

Normal Blood Pressure ◽

Life Saving ◽

Submassive Pulmonary Embolism

Pulmonary embolism is a common disease that is associated with significant mobility and mortality. Thrombolysis is potentially life saving when used in conjunction with anticoagulant therapy. Indications for thrombolysis for pulmonary embolism are not well defined. In patients with acute massive pulmonary embolism and hypotension, thrombolytic therapy offers some benefits in terms of mortality reduction. The use of thrombolysis in patients with stable haemodynamics has been controversial for more than two decades. Recent clinical studies have indicated that thrombolytic treatment in conjunction with heparin in patients with submassive pulmonary embolism and normal blood pressure can prevent deterioration of the disease and diminish the need for more intensive therapies during hospitalisation. The role of prehospital thrombolytic therapy for acute pulmonary embolism is unclear and further clinical studies are warranted.

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Surgical pulmonary embolectomy in a multi-trauma patient: One-center experience in the resource-limited setting

SAGE Open Medical Case Reports ◽

10.1177/2050313x20953753 ◽

2020 ◽

Vol 8 ◽

pp. 2050313X2095375

Author(s):

Phung Duy Hong Son ◽

Nguyen Huu Uoc ◽

Pham Huu Lu ◽

Doan Quoc Hung ◽

Hoang-Long Vo

Keyword(s):

Pulmonary Embolism ◽

Trauma Patient ◽

Pulmonary Arteries ◽

Massive Pulmonary Embolism ◽

Pulmonary Embolectomy ◽

Resource Limited ◽

Good State ◽

Surgical Embolectomy ◽

Similar Resource ◽

The Right

Pulmonary embolism, a serious complication after trauma, may cause sudden death. We discuss an unusual case of 65-year-old woman who had traffic accident with liver injury and open fracture of both tibia and fibula on the right side. She was diagnosed with massive pulmonary embolism on the second day after accident and successfully underwent emergency surgical embolectomy from bilateral pulmonary arteries. There were no postoperative complications. The patient’s good state of health was recorded after 13 months of surgery. Surgical pulmonary embolectomy for such a multi-trauma patient provides valuable experience not only for our institution but also for the countries having similar resource-limited conditions.

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