|
|
||||||||
Ann Thorac Surg 1991;51:232-236
© 1991 The Society of Thoracic Surgeons
Departments of Cardiothoracic Surgery, Pneumology, and Intensive Care, Laennec Hospital, Paris, France
Accepted for publication October 15, 1990.
* Address reprint requests to Dr Sors, Pneumology and Intensive Care, Laennec Hospital, 42, rue de Sèvres, 75007 Paris, France.
Between 1968 and 1988, 96 consecutive patients with acute massive pulmonary embolism underwent pulmonary embolectomy under cardiopulmonary bypass. The operative mortality rate was 37.5%. We analyzed 12 clinical and hemodynamic variables by univariate and multivariate analyses to assess the predictive factors of postoperative outcome. Multivariate analysis disclosed that cardiac arrest and associated cardiopulmonary disease were independent predictors of operative death. Long-term follow-up (range, 2 to 144 months; mean, 56 months) information was available for 55 of the 60 discharged patients: 6 had died, and 5 complained of persistent mild or severe exertional dyspnea (New York Heart Association class II). These results help assess the preoperative risk in patients undergoing pulmonary embolectomy. They also show that, in the few patients who do not benefit from optimal medical therapy, pulmonary embolectomy remains an acceptable procedure in view of the long-term results.
This article has been cited by other articles:
![]() |
C. He, L. K. Von Segesser, P. A. Kappetein, C. A. Mestres, J. A. Smith, and C. K. C. Choong Acute pulmonary embolectomy Eur J Cardiothorac Surg, June 1, 2013; 43(6): 1087 - 1095. [Abstract] [Full Text] [PDF] |
||||
![]() |
C.-H. Ko, P. Forrest, R. D'Souza, and R. Qasabian Successful use of extracorporeal membrane oxygenation in a patient with combined pulmonary and systemic embolisation Perfusion, March 1, 2013; 28(2): 138 - 140. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Kilic, A. S. Shah, J. V. Conte, and D. D. Yuh Nationwide outcomes of surgical embolectomy for acute pulmonary embolism J. Thorac. Cardiovasc. Surg., February 1, 2013; 145(2): 373 - 377. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Takahashi, K. Okada, M. Matsumori, H. Kano, A. Kitagawa, and Y. Okita Aggressive Surgical Treatment of Acute Pulmonary Embolism With Circulatory Collapse Ann. Thorac. Surg., September 1, 2012; 94(3): 785 - 791. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. P. Greelish, M. Leacche, N. S. Solenkova, R. M. Ahmad, and J. G. Byrne Improved midterm outcomes for type A (central) pulmonary emboli treated surgically J. Thorac. Cardiovasc. Surg., December 1, 2011; 142(6): 1423 - 1429. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. A. Vohra, R. N. Whistance, K. Mattam, M. Kaarne, M. P. Haw, C. W. Barlow, G. M. K. Tsang, S. A. Livesey, and S. K. Ohri Early and Late Clinical Outcomes of Pulmonary Embolectomy for Acute Massive Pulmonary Embolism Ann. Thorac. Surg., December 1, 2010; 90(6): 1747 - 1752. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. Samoukovic, T. Malas, and B. de Varennes The role of pulmonary embolectomy in the treatment of acute pulmonary embolism: a literature review from 1968 to 2008 Interact CardioVasc Thorac Surg, September 1, 2010; 11(3): 265 - 270. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. Reichenberger, C. Nachtmann, and F. Grimminger Pulmonary embolism and the consequences for the right heart Respiratory Emergencies, June 28, 2010; 136 - 164. [Abstract] [Fulltext] [PDF] |
||||
![]() |
Authors/Task Force Members, A. Torbicki, A. Perrier, S. Konstantinides, G. Agnelli, N. Galie, P. Pruszczyk, F. Bengel, A. J.B. Brady, D. Ferreira, et al. Guidelines on the diagnosis and management of acute pulmonary embolism: The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC) Eur. Heart J., September 2, 2008; 29(18): 2276 - 2315. [Full Text] [PDF] |
||||
![]() |
A. Kadner, J. Schmidli, F. Schonhoff, E. Krahenbuhl, F. Immer, T. Carrel, and F. Eckstein Excellent outcome after surgical treatment of massive pulmonary embolism in critically ill patients. J. Thorac. Cardiovasc. Surg., August 1, 2008; 136(2): 448 - 451. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Leacche, D. Unic, S. Z. Goldhaber, J. D. Rawn, S. F. Aranki, G. S. Couper, T. Mihaljevic, R. J. Rizzo, L. H. Cohn, L. Aklog, et al. Modern surgical treatment of massive pulmonary embolism: Results in 47 consecutive patients after rapid diagnosis and aggressive surgical approach J. Thorac. Cardiovasc. Surg., May 1, 2005; 129(5): 1018 - 1023. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Dauphine and B. Omari Pulmonary Embolectomy for Acute Massive Pulmonary Embolism Ann. Thorac. Surg., April 1, 2005; 79(4): 1240 - 1244. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Yalamanchili, A. G. Fleisher, S. G. Lehrman, H. I. Axelrod, R. J. Lafaro, M. R. Sarabu, E. A. Zias, and R. A. Moggio Open pulmonary embolectomy for treatment of major pulmonary embolism Ann. Thorac. Surg., March 1, 2004; 77(3): 819 - 823. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. W. Rich The Management of Venous Thromboembolic Disease in Older Adults J Gerontol A Biol Sci Med Sci, January 1, 2004; 59(1): M34 - M41. [Abstract] [Full Text] [PDF] |
||||
![]() |
Guidelines on diagnosis and management of acute pulmonary embolism Eur. Heart J., August 2, 2000; 21(16): 1301 - 1336. [PDF] |
||||
![]() |
S. Noda, T. M. Sundt III, J. P. Lynch, E. P. Trulock, S. Sundaresan, and G. A. Patterson Pulmonary Embolectomy After Single-Lung Transplantation Ann. Thorac. Surg., November 1, 1997; 64(5): 1459 - 1461. [Abstract] [Full Text] |
||||
![]() |
H. Ohteki, H. Norita, M. Sakai, and Y. Narita Emergency Pulmonary Embolectomy With Percutaneous Cardiopulmonary Bypass Ann. Thorac. Surg., June 1, 1997; 63(6): 1584 - 1586. [Abstract] [Full Text] |
||||
![]() |
L. C. H. John, W. I. I. Awad, and D. R. Anderson Retrograde pulmonary embolectomy by flushing of the pulmonary veins Ann. Thorac. Surg., November 1, 1995; 60(5): 1404 - 1406. [Abstract] [PDF] |
||||
![]() |
A. C. Beall Jr Pulmonary embolectomy Ann. Thorac. Surg., February 1, 1991; 51(2): 179 - 179. [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |