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Emergency Surgical Pulmonary Embolectomy

  • Conference paper
Venous Thromboembolism

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Summary

Surgical pulmonary embolectomy has a definite role to play in the management of selected patients with acute, Major pulmonary embolism. Rapid noninvasive diagnostic modalities allow proper patient selection based on anatomic location of the emboli, right heart function, and contraindications to thrombolysis. Operative results are a direct reflection of the preoperative hemodynamic status, the degree of underlying cardiopulmonary disease, and attention to minimizing surgical trauma and protecting the right heart. An operative mortality of 10% or less and excellent long-term outcomes can be expected if the procedure is performed, before cardiovascular collapse, as part of a multidisciplinary strategy that emphasizes careful patient selection, rapid diagnosis, triage, and transport.

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Author information

Authors and Affiliations

  1. Department of Cardiothoracic Surgery, Mount Sinai Medical Center, 1190 Fifth Avenue, 1028, New York, NY, USA

    Lishan Aklog

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  1. Lishan Aklog
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Editors and Affiliations

  1. Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan

    Kunio Shirato M.D., Ph.D. (Professor) (Professor)

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© 2005 Springer-Verlag Tokyo

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Aklog, L. (2005). Emergency Surgical Pulmonary Embolectomy. In: Shirato, K. (eds) Venous Thromboembolism. Springer, Tokyo. https://doi.org/10.1007/4-431-27121-X_6

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  • DOI: https://doi.org/10.1007/4-431-27121-X_6

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-22080-0

  • Online ISBN: 978-4-431-27121-5

  • eBook Packages: MedicineMedicine (R0)

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