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Right Heart Pathology pp 725–732Cite as

Open Surgery for Pulmonary Thromboembolism

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Abstract

Acute massive pulmonary embolism (PE) is a life threatening condition requiring quick diagnosis and intervention. The mortality rate in this acute entity is high despite progress in therapeutically strategies. Acute PE is the third most common cause of death among hospitalized patients. Currently, multidisciplinary teams with cardiovascular surgeons’ involvement have introduced again the surgical embolectomy on cardiopulmonary bypass for high risk patients with PE and also for selected patients with intermediate-high risk, particularly if thrombolysis is contraindicated or failed. There is also recent evidence data that supports prompt multidisciplinary approach and individualized indication of surgery before hemodynamic collapse, while the mortality rates are of 6% or less. Complete removal of thrombotic material from pulmonary arteries is the best predictor to avoid persistent pulmonary artery hypertension. Acute pulmonary embolectomy on cardiopulmonary bypass is safe and it has good and long-lasting results in patients with severe right ventricular dysfunction.

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Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, Central Military Hospital, Bucharest, Romania

    Ionel Droc

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  1. Ionel Droc
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Editors and Affiliations

  1. Department of Medicine, Titu Maiorescu University, Bucharest, Romania

    Silviu Ionel Dumitrescu

  2. Department of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania

    Ion C. Ţintoiu

  3. Department of Surgery, Chinese University of Hong Kong, Sha Tin, Hong Kong

    Malcolm John Underwood

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Droc, I. (2018). Open Surgery for Pulmonary Thromboembolism. In: Dumitrescu, S., Ţintoiu, I., Underwood, M. (eds) Right Heart Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-73764-5_42

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  • DOI: https://doi.org/10.1007/978-3-319-73764-5_42

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-73763-8

  • Online ISBN: 978-3-319-73764-5

  • eBook Packages: MedicineMedicine (R0)

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