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Ann Thorac Surg 2003;76:599-601
© 2003 The Society of Thoracic Surgeons

Case report

Pulmonary embolism after lung resection: diagnosis and treatment

Kotaro Kameyama, MDa, Cheng-long Huang, MDa, Dage Liu, MDa, Taku Okamoto, MDa, Eiichi Hayashi, MDa, Yasumichi Yamamoto, MDa, Hiroyasu Yokomise, MDa*

a Second Department of Surgery, Kagawa Medical University, Kagawa, Japan

Accepted for publication December 23, 2002.

* Address reprint requests to Dr Yokomise, Kagawa Medical University, 1750-1, Miki-cho, Kita-gun, Kagawa 761-0793, Japan
e-mail: yokomise{at}kms.ac.jp

Pulmonary embolism after lung resection (PEALR) has a high mortality rate, and it is one of the most severe complications after lung resection. Early diagnosis and treatment are essential for PEALR. Here we present 3 cases of severe PEALR. In these cases, transthoracic Doppler echocardiography was useful for confirming the diagnosis of PEALR. Thrombolysis with recombinant tissue plasminogen activator (r-tPA) was used to treat the embolism, and these patients were subsequently discharged. Thus echocardiography may become a primary procedure to confirm the diagnosis of severe PEALR, and thrombolysis with second-generation r-tPA may be the preferred choice for treatment.




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[Abstract] [Full Text] [PDF]


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