Treatment of massive pulmonary embolism after on-pump coronary artery bypass surgery: A case report


Cenal A. R., Tataroǧlu C., Tekümit H., Uzun K., Akinci E.

Turkish Journal of Thoracic and Cardiovascular Surgery, vol.18, no.4, pp.321-323, 2010 (Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 18 Issue: 4
  • Publication Date: 2010
  • Journal Name: Turkish Journal of Thoracic and Cardiovascular Surgery
  • Journal Indexes: Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.321-323
  • Keywords: Coronary artery bypass surgery, echocardiography, pulmonary embolism
  • Istanbul Gelisim University Affiliated: No

Abstract

A 45-year-old woman developed an acute massive pulmonary embolism two weeks after four-vessel coronary artery bypass graft surgery. After confirmation of pulmonary embolism with echocardiography the patient underwent emergent pulmonary embolectomy in one hour following admission and a huge amount of clot was extracted via longitudinal pulmonary arteriotomy. Intraoperative transesophageal echocardiography revealed no remnants of thrombus either in the right atrium or right ventricle. The patient was discharged uneventfully and did not develop deep vein thrombosis or pulmonary hypertension on the 3rd month of follow-up.