Acute pulmonary thromboembolism with a floating right-heart thrombus |
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| Authors: | Toshihiro Fukui Yoshihiro Shimizu Shuichiro Takanashi Keijiro Nishizawa Hirokazu Minamimura Takumi Ishikawa Kennu Fumimoto |
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| Affiliation: | Department of Cardiovascular Surgery, Osaka City General Hospital, 2-53 Miyakojimahondori, Miyakojima-ku, Osaka 534-0021, Japan. |
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| Abstract: | OBJECTIVE: We determined the efficacy of surgery for acute pulmonary thromboembolism with a floating right-heart thrombus. METHODS AND RESULTS: Thrombi were diagnosed by transthoracic echocardiography and electron beam computed tomography in 4 patients with acute pulmonary thromboembolism with a floating right-heart thrombus, and thromboembolectomy was done in all patients. Surgical procedure included intermittent deep hypothermic circulatory arrest. One patient died of endobronchial hemorrhage and 3 survived. CONCLUSION: Because acute pulmonary thromboembolism with a right-heart thrombus is life-threatening, immediate thromboembolectomy is required to decrease mortality. |
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| Keywords: | acute pulmonary thromboembolism floating right-heart thrombus thromboembolectomy |
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