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Ann Thorac Surg 2005;79:1093
© 2005 The Society of Thoracic Surgeons

Correspondence

Transesophageal Echocardiography for Pulmonary Embolectomy: Reply

Georgios P. Georghiou, MD, Eldad Erez, MD, Bernardo A. Vidne, MD

Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petah, Tiqva 49100 Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel 69978

Alex Sagie, MD

Department of Cardiology, Echocardiography Unit, Rabin Medical Center, Beilinson Campus, Petah, Tiqva 49100Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel 69978

(E-mail: georgios{at}clalit.org.il).

To the Editor:

We thank Dr Rosenberger and colleagues for their comments regarding our article [1]. Although we did not use intraoperative transesophageal echocardiography in the management of our patient, we agree that it should be considered during pulmonary embolectomy, even in the presence of acute hemodynamic instability [2]. Transesophageal echocardiography makes it possible to diagnose pulmonary embolism by direct visualization of a thrombus rather than by relying on indirect signs, such as right ventricular enlargement and hypokinesis. The examination assesses the extent of thromboembolism as well as its surgical accessibility [3].


   References
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 References
 

  1. Georghiou GP, Brauner R, Berman M, et al. Successful resuscitation of a patient with acute massive pulmonary embolism using emergent embolectomy Ann Thorac Surg 2004;77:697-699.[Abstract/Free Full Text]
  2. Aklog L, Williams CS, Byrne JG, Goldhaber SZ. Acute pulmonary embolectomy: a contemporary approach Circulation 2002;105:1416-1419.[Abstract/Free Full Text]
  3. Goldhaber SZ. Echocardiography in the management of pulmonary embolism Ann Intern Med 2002;136:691-700.[Abstract/Free Full Text]

Related Article

Transesophageal Echocardiography for Pulmonary Embolectomy
Peter Rosenberger, Stanton K. Shernan, Tomislav Mihaljevic, and Holger K. Eltzschig
Ann. Thorac. Surg. 2005 79: 1092-1093. [Extract] [Full Text] [PDF]




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