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Acute Pulmonary Embolism: Invasive Intervention, Early Embolectomy and Prophilaxy
Acute Pulmonary Embolism: Invasive Intervention, Early Embolectomy and Prophilaxy
*İbrahim YEKELER, *Azman ATEŞ, *Mustafa CERRAHOĞLU, *Hikmet KOÇAK, *Necip BECİT, **Nurettin KARAOĞLANOĞLU, **Ahmet BAŞOĞLU, ***Sebahattin ATEŞAL
Atatürk Üniversitesi Tıp Fakültesi,
* Göğüs Cerrahisi Anabilim Dalı,
**Kalp Damar Cerrahisi Anabilim Dalı,
*** Kardiyoloji Bilim Dalı
Invasive intervention was performed on 5 cases that
diagnosed as pulmonary embolism (PE) at Depart-
ment of Thoracic and Cardiovascular Surgery,
School of Medicine of Atatürk University. Four of
the cases were female, l was male and the avarage
age was 31.2 (22-37). Two cases had undergone
major gynecologic operations, and other cases had
iliofemoral vein trombosis. it was diagnosed
clinicilally massive pulmonary embolism (MPE) in
three cases, and pulmonary microembolism in 2
cases. in three cases with MPE, it was urgently
performed pulmonary embolectomy using extracor-
poreal circulation (ECC). A Greenfield filter was
inserted into vena cava inferior (VCI) via right
iliofemoral vein in the two cases with pulmonary
microemoblism.
Two of cases with MPE applied pulmonary
embolectomy died for the reason of peroperative
cardiopulmonary failure, while another patient had
getting back to normal. During three years of
follow-up, PE was not recurred in two cases applied
Greenfield filter.
We conclude that, prophylactically filter application
to VCI in pulmonary microembolism and pulmonary
embolectomy using ECC in early period of
life-threatening MPE may be a life saver procedure.
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