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Ann Thorac Surg 1991;52:122-126
© 1991 The Society of Thoracic Surgeons

Articles

Multiple pulmonary microemboli complicating pneumonectomy

Christopher M.R. Satur, FRCS*, Roderick H. Robertson, FRCR, Philip E. Da Costa, MRCPath, Nigel R. Saunders, FRCS, Duncan R. Walker, FRCS

Departments of Cardiothoracic Surgery, Radiology, and Histopathology, The Killingbeck Hospital, Leeds, England

Accepted for publication April 11, 1991.

* Address correspondence to Mr Satur, Department of Cardiothoracic Surgery, The Killingbeck Hospital, York Rd, Leeds, West Yorkshire, Leeds, LS14 6UQ, England.

Pulmonary embolism is widely recognized to complicate abdominal and lower limb orthopedic surgical procedures, but in comparison, it is seldom recognized to hamper the postoperative progress of patients after thoracic operations. We present 4 patients in whom multiple pulmonary emboli developed after pneumonectomy, 2 of whom were treated successfully. We discuss the mostly atypical presentation and the physiological and clinical consequences, and also suggest a mode of management.




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