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Ann Thorac Surg 1986;42:52-55
© 1986 The Society of Thoracic Surgeons

Articles

Emergent Pulmonary Embolectomy: The Treatment for Massive Pulmonary Embolus

Robert J. Robison, M.D.*, John Fehrenbacher, M.D., John W. Brown, M.D., James A. Madura, M.D., Harold King, M.D.

From the Department of Surgery, Cardiovascular and General Surgery Sections, Indiana University Medical Center, Indianapolis, IN

Accepted for publication October 16, 1985.

* Address reprint requests to Dr. Robison, Indiana University Medical Center, Department of Surgery, Emerson Hall 212, 545 Barnhill Drive, Indianapolis, IN 46223

Massive pulmonary embolus usually leads to in-hospital mortality if not treated aggressively. Four patients were seen with severe cardiorespiratory compromise resulting from massive pulmonary emboli. Emergent pulmonary embolectomy was followed by marked clinical improvement, and 3 patients were subsequently discharged from the hospital. The clinical courses of these patients are described, and massive pulmonary embolus and its management are discussed.




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