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Ann Thorac Surg 1991;52:137-138
© 1991 The Society of Thoracic Surgeons

Articles

Intraoperative transesophageal echocardiography for pulmonary embolectomy without cardiopulmonary bypass

Ph. Deleuze, MD*, M. Saada, MD, R. De Paulis, MD, L. Brochard, MD, J.P. Mazzucotelli, MD, N. Rotman, MD, D.Y. Loisance, MD, J.P. Cachera, MD

Departments of Cardiac Surgery, Anesthesiology, and General Surgery, and Intensive Care Unit, Hopital Henri Mondor, Creteil, France

Accepted for publication November 28, 1990.

* Address reprint requests to Dr Deleuze, Laboratoire de Recherches Chirurgicales, Faculté de Médecine, 8 rue du Gal Sarrail, 94000 Créteil France.

This case report describes a patient with massive pulmonary embolism and acute circulatory failure in whom transesophageal echocardiography permitted the diagnosis of thrombi in the main pulmonary truncus and in the right branch and guided intraoperatively the surgical embolectomy performed under simple venous inflow occlusion because of a contraindication to heparin administration. Transesophageal echocardiography seems to be a very helpful technique to diagnose promptly massive pulmonary embolism and a very useful tool at the time of operation to guide the embolectomy.






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Copyright © 1991 by The Society of Thoracic Surgeons.