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

Ali Rıza Cenal,

Ali Rıza Cenal¹, Cenk Tataroğlu², Hayrettin Tekümit¹, Kemal Uzun¹, Esat Akıncı¹

¹Department of Cardiovascular Surgery, Avrupa Şafak Hospital, İstanbul
²Department of Cardiovascular Surgery, Medicine Faculty of Düzce University, Düzce

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 3^rd month of follow-up.

Keywords : Coronary artery bypass surgery; echocardiography; pulmonary embolism

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