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Alon Stamler
Bernardo A. Vidne
Eldad Erez
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Ann Thorac Surg 2004;77:697-699
© 2004 The Society of Thoracic Surgeons

Case report

Successful resuscitation of a patient with acute massive pulmonary embolism using emergent embolectomy

Georgios P. Georghiou, MDa, Ron Brauner, MDa, Marius Berman, MDa, Alon Stamler, MDa, Lucio Glanz, MDb, Bernardo A. Vidne, MDa*, Eldad Erez, MDa

a Departments of Cardiothoracic Surgery and Anesthesiology, Rabin Medical Center, Beilinson Campus, Petah Tiqva, Israel
b Department of Anesthesiology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Accepted for publication April 29, 2003.

* Address reprint requests to Dr Vidne, Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petah Tiqva 49100, Israel
e-mail: bvidne{at}clalit.org.il

Acute massive pulmonary embolism is associated with a high mortality rate. Prompt diagnosis and treatment are mandatory for a successful outcome. Although thrombolysis is effective, it is associated with a high rate of bleeding complications. This report describes the use of emergent pulmonary embolectomy as an effective and aggressive therapeutic approach to a massive saddle pulmonary embolism in a 66-year-old woman. With the application of specific surgical techniques and good interdisciplinary cooperation, pulmonary embolectomy may serve as more than a last resort for the management of this clinically unstable and dangerous condition.




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