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Ann Thorac Surg 1995;60:1404-1406
© 1995 The Society of Thoracic Surgeons


Case Reports

Retrograde Pulmonary Embolectomy by Flushing of the Pulmonary Veins

Lindsay C. H. John, FRCS, Wael I. I. Awad, FRCS, David R. Anderson, FRCS

Department of Cardiothoracic Surgery, Guy's Hospital, London, United Kingdom

Accepted for publication April 29, 1995.

A glue embolization of a cerebral arteriovenous malformation in a 3-year-old boy was complicated by a massive pulmonary embolus due to glue entering the venous circulation. Attempted pulmonary embolectomy via pulmonary arteriotomy after emergency cardiopulmonary bypass was unsuccessful. However, retrograde flushing of the pulmonary veins with cold saline solution produced large quantities of embolus through the pulmonary arteriotomy. Bypass was discontinued uneventfully with no residual cardiopulmonary problems.




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