Iliescu V, Bubenek S, Miclea I, Rugină Mihaela, Dorobanţu L, Deleanu D, Mihăela Mihaela, Apetrei E, Gheorghe C, Tulbure Liana Gheorghe D, Popescu I
Clinica de Chirurgie Cardiovasculară, Institutul de Boli Cardiovasculare Prof. C.C. Iliescu, Bucureşti.
Chirurgia (Bucur). 2005 May-Jun;100(3):287-91.
We present the case of a 57 years old male, without cardiovascular history, with colorectal cancer and proximal deep venous thrombosis, who develops a massive pulmonary embolism. The surgical treatment consists in embolectomy of right ventricle, pulmonary trunk, left and right pulmonary artery. The specifics of the case is discussed: etiology and prevention of pulmonary embolism (caval filter) and treatment: the contraindications of thrombolytic therapy and the indications and perspectives of surgical treatment.
我们报告一例57岁男性病例，该患者无心血管病史，患有结直肠癌并伴有近端深静脉血栓形成，后发生大面积肺栓塞。手术治疗包括右心室、肺动脉主干、左右肺动脉的栓子切除术。文中讨论了该病例的具体情况：肺栓塞的病因及预防（下腔静脉滤器）以及治疗：溶栓治疗的禁忌症和手术治疗的适应症及前景。
