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The Annals of Thoracic Surgery, Vol 51, 232-236, Copyright © 1991 by The Society of Thoracic Surgeons
G Meyer, D Tamisier, H Sors, M Stern, P Vouhe, S Makowski, JY Neveux, F Leca and P Even
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.
ARTICLES
Pulmonary embolectomy: a 20-year experience at one center
Department of Cardiothoracic Surgery, Laennec Hospital, Paris, France.
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