Emergency Surgical Embolectomy for Pulmonary Emboli After Failed Thrombolysis

A 34-year-old man presented in cardiogenic shock secondary to massive pulmonary embolism. Surgical embolectomy was performed after failed thrombolysis. Intraoperatively, a right atrial lesion and pulmonary emboli were removed. Histopathology revealed myxoma complicated by pulmonary emboli. The patie...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2009-06, Vol.17 (3), p.297-299
Main Authors: Chu, Sharon HL, Andrews, David, Watanabe, Yuki
Format: Article
Language:English
Subjects:
Adult
Embolectomy
Emergency Treatment
Heart Atria - pathology
Heart Atria - surgery
Heart Neoplasms - pathology
Heart Neoplasms - surgery
Humans
Male
Myxoma - pathology
Myxoma - surgery
Pulmonary Embolism - complications
Pulmonary Embolism - surgery
Shock, Cardiogenic - etiology
Shock, Cardiogenic - surgery
Thrombolytic Therapy - adverse effects
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Summary:A 34-year-old man presented in cardiogenic shock secondary to massive pulmonary embolism. Surgical embolectomy was performed after failed thrombolysis. Intraoperatively, a right atrial lesion and pulmonary emboli were removed. Histopathology revealed myxoma complicated by pulmonary emboli. The patient made a good recovery. This case suggests that surgical embolectomy should be considered as first-line treatment for all patients with acute massive pulmonary embolism, and not reserved for those with severe hemodynamic compromise or failed conservative management.
ISSN:0218-4923
1816-5370
DOI:10.1177/0218492309104769