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Ann Thorac Surg 1973;15:187-195
© 1973 The Society of Thoracic Surgeons

Articles

Hemorrhagic Lung Syndrome

Hemorrhagic Lung Infarction Following Pulmonary Embolectomy

C.M. Couves, M.D.*, S.S. Nakai, M.D., L.P. Sterns, M.D., J.C. Callaghan, M.D., B.J. Sproule, M.D.

Departments of Surgery and Medicine, University of Alberta, Edmonton, Alta., Canada

Accepted for publication September 14, 1972.

* Address reprint requests to Dr. Couves, Department of Surgery, Clinical Sciences Bldg., University of Alberta, Edmonton 7, Alta., Canada

The purpose of this communication is to report 5 patients in whom, following pulmonary embolectomy for massive thromboembolism, extensive pulmonary hemorrhagic infarction occurred; 4 patients died. Four of the patients had been operated upon using cardiopulmonary bypass, and 1 patient had a Trendelenburg embolectomy without the use of extracorporeal circulation.

The cause of this alarming condition is unclear, but because of the frequency with which we have encountered the complication, we have become increasingly more discriminative in the selection of patients for pulmonary embolectomy.




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