Open AccessTimely embolectomy in acute massive pulmonary embolism prevents catastrophe: An experience from two cases
Author(s) -
Ramesh Dwarakaprasad,
H.S. Natraj Setty,
Kumarswamy,
Sunil Kumar,
Jayanth,
Cholenahalli Nanjappa Manjunath
Publication year - 2016
Publication title -
journal of natural science, biology and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.236
H-Index - 30
eISSN - 2229-7707
pISSN - 0976-9668
DOI - 10.4103/0976-9668.184706
Subject(s) - medicine , embolectomy , pulmonary embolism , pulmonary artery , embolism , surgery , cardiology , cardiopulmonary bypass , radiology
Acute massive pulmonary embolism is a life-threatening emergency that must be promptly diagnosed and managed. Over the last several years, the use of computed tomography scanning has improved the clinician's ability to diagnose acute pulmonary embolism. We report two cases of acute massive pulmonary embolism who presented with sudden onset of dyspnea and underwent successful open pulmonary embolectomy. The first case presented with acute onset of dyspnea of 2 days duration, in view of hemodynamic deterioration and two-dimensional echocardiography, it revealed clot in right ventricular (RV) apex and right pulmonary artery; the patient underwent cardiopulmonary bypass and open pulmonary embolectomy with RV clot extraction. The second case presented with a sudden onset of dyspnea on the 15(th) postoperative day for traumatic rupture of urinary bladder, in view of recent surgery, the patient was subjected to surgical embolectomy. Following surgical intervention, both the patients made a prompt recovery.