Surgical management of acute pulmonary artery thromboembolism

Medvedev A.P., Pichugin V.V., Ivanov L.N., Nemirova S.V., Loguinov О. E., Prytkov V.V., Deryabin R.A.
Nizhni Novgorod State Medical Academy,
Specialized Cardiosurgical Clinical Hospital,
Nizhni Novgorod, Russia

We operated on a total of twenty-seven patients presenting with acute massive thromboembolism of pulmonary arteries. The patients' mean age amounted to 38.6±9.17 years. The estimated pressure in the pulmonary artery averaged 54.2±7.15 mm Hg. A total of twenty- two thromboembolectomic procedures were performed in the setting of assisted circulation. In five patients embolectomy was carried out from a thoracotomic approach without artificial circulation. The remote period was marked by a relapse of thromboembolism, with the female patient having completely refused to undergo treatment. All the patients remain in a satisfactory condition, with the estimated pressure in the pulmonary artery maintaining at an average level of 27.05±3.11 mm Hg.

KEY WORDS: acute pulmonary artery thromboembolism, thromboembolectomy, assisted circulation.

P. 78-86

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