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Acute pulmonary thromboembolism with a floating right-heart thrombus

Authors
  • Fukui, Toshihiro1
  • Shimizu, Yoshihiro1
  • Takanashi, Shuichiro1
  • Nishizawa, Keijiro1
  • Minamimura, Hirokazu1
  • Ishikawa, Takumi1
  • Fumimoto, Kennu1
  • 1 Osaka City General Hospital, Department of Cardiovascular Surgery, 2-53 Miyakojimahondori, Miyakojima-ku, Osaka, 534-0021, Japan , Osaka (Japan)
Type
Published Article
Journal
The Japanese Journal of Thoracic and Cardiovascular Surgery
Publisher
Springer-Verlag
Publication Date
May 14, 2014
Volume
49
Issue
2
Identifiers
DOI: 10.1007/BF02912127
Source
Springer Nature
Keywords
License
Yellow

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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