Surgical Embolectomy In Massive Acute Pulmonary Embolism: Our Experience
Journal Title: Nepalese Heart Journal - Year 2015, Vol 12, Issue 2
Abstract
Background and Aims: Pulmonary embolism (PE) is the leading cause of hospital deaths among the non-surgical patients. Our aim was to evaluate the effcacy of surgical embolectomy in massive acute PE. Methods: It was a single centre, prospective study conducted between January 2007 and August 2013 in Specialized Cardiovascular Surgical Hospital of Nizhny Nizhny Novgorod State Medical Academy Nizhny Novgorod, Russia. One hundred and seventy fve patients were diagnosed as PE. Only 77 patients were diagnosed as massive pulmonary embolism and were included in this study. Surgical embolectomy was performed without cardiopulmonary bypass through thoracotomy approach only in the involved pulmonary artery. Right atriotomy and evacuation of embolus was done, in cases of right ventricle thrombus. Results: Seventy-seven patients with acute massive PE underwent surgical embolectomy. Four (5.1%) patients died before discharge. Mean time of ICU stay was 70.1±11.0 hours. During six months of follow up after the embolotomy. Eleven (14%) patients had deep vein thrombosis, two had sub-massive PE. During 6 months of follow up 62 patients (81%) had no further episode of venous thrombloembolism. Conclusions: Our study showed surgical embolectomy can be done with good clinical outcome with acceptable mortality rate.
Authors and Affiliations
Nemirova S. V. | Department of Cardiac Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia Corresponding author: Krishna Bhandari, Department of Cardiac, Department of Cardiovascular Surgery, Shahid Gangalal National Heart Center, P.O. Box-11360, Bansbari, Kathmandu, Nepal, Medvedev A. P. | Department of Cardiac Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia Corresponding author: Krishna Bhandari, Department of Cardiac, Department of Cardiovascular Surgery, Shahid Gangalal National Heart Center, P.O. Box-11360, Bansbari, Kathmandu, Nepal, Pichugin V. V. | Department of Cardiac Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia Corresponding author: Krishna Bhandari, Department of Cardiac, Department of Cardiovascular Surgery, Shahid Gangalal National Heart Center, P.O. Box-11360, Bansbari, Kathmandu, Nepal, Krishna Bhandari| Department of Cardiac Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia Corresponding author: Krishna Bhandari, Department of Cardiac, Department of Cardiovascular Surgery, Shahid Gangalal National Heart Center, P.O. Box-11360, Bansbari, Kathmandu, Nepal
Keywords
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- EP ID EP15764
- DOI http://dx.doi.org/10.3126/njh.v12i2.13387
- Views 357
- Downloads 17
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