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Surgical Management of Pulmonary Embolism

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Book cover Current Management of Venous Diseases

Abstract

Venous thromboembolism (VTE) hospitalizes more than 300,000 Americans annually and places patients at a significant risk for morbidity and mortality. It describes a spectrum of disorders that spans from deep vein thrombosis (DVT) and pulmonary embolism (PE) to chronic thromboembolic pulmonary hypertension (CTEPH). DVT involves a localized thrombus that may embolize to the lungs, resulting in PE. The pathophysiology of PE is influenced not by the mechanical occlusion but by the resulting vasoconstriction and the right heart dysfunction that follow. Once the thromboemboli in the pulmonary vasculature become incorporated into the vessels via remodeling, CTEPH may be manifested as heart failure. For both PE and CTEPH surgical interventions, pulmonary embolectomy and endarterectomy, respectively, have proven to be effective treatments. This chapter reviews the operative management of acute pulmonary embolism. Pulmonary endarterectomy will be discussed in a separate chapter.

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Authors and Affiliations

  1. Section of Cardiothoracic Surgery, Department of Surgery, Yale New Haven Hospital, New Haven, CT, USA

    Jeenah Jung MD, PhD

  2. Section of Cardiac Surgery, Department of Surgery, Yale New Haven Hospital, New Haven, CT, USA

    Pramod Bonde MD

Authors
  1. Jeenah Jung MD, PhD
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  2. Pramod Bonde MD
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Correspondence to Pramod Bonde MD .

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Editors and Affiliations

  1. Section of Vascular Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut, USA

    Cassius Iyad Ochoa Chaar

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Jung, J., Bonde, P. (2018). Surgical Management of Pulmonary Embolism. In: Chaar, C. (eds) Current Management of Venous Diseases . Springer, Cham. https://doi.org/10.1007/978-3-319-65226-9_31

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  • DOI: https://doi.org/10.1007/978-3-319-65226-9_31

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-65225-2

  • Online ISBN: 978-3-319-65226-9

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