Pulmonary trombendarterectomy in the patient with the symptoms of massive pulmonary embolism

Česká verzia

Authors: P. Němec; M. Kaláb; M. Gwozdziewicz; R. Hájek
Authors place of work: Kardiochirurgická klinika Lékařské fakulty UP a FN Olomouc, přednosta doc. MUDr. Petr Němec, CSc.
Published in the journal: Vnitř Lék 2006; 52(9): 812-814
Category: Case Report

Summary

The case-report of a 57-year-old patient with the symptoms of massive pulmonary embolism is presented. The patient was admitted to the hospital in the cardiogenic shock, ventilated and with high dose of inotropic support. It was impossible to find out the exact data from personal history. The patient was operated on urgently. The chronic occlusion of the right pulmonary artery due to the chronic tromboembolic disease was found out. Thromboendarterectomy of the pulmonary artery was successfully performed. Three month after operation the patient is in excellent clinical condition almost without any functional limitation. Some atypical features of this case are stressed in the discussion: the urgency of the operation for chronic tromboembolic disease with unilateral involvement, which simulated pulmonary embolism and operation in mild hypothermia without circulatory arrest.

Key words:
pulmonary trombendarterectomy - pulmonary embolism

Zdroje

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