Akay Tankut Hakki, Sezgin Atilla, Ozkan Suleyman, Gultekin Bahadir, Aslim Erdal, Aslamaci Sait
Department of Cardiovascular Surgery, Baskent University Faculty of Medicine, 06460 Ankara, Turkey.
Tex Heart Inst J. 2006;33(4):498-500.
Acute massive pulmonary embolism after cardiac surgery is very rare. Although accurate diagnosis and rapid treatment are crucial to a successful outcome, there is no standard treatment option. Thrombolytic therapy and catheter embolectomy are the usual treatment options, but they are associated with risks, especially in patients who experience massive pulmonary embolism after coronary artery bypass surgery. Open pulmonary embolectomy may be the best choice for treating these patients. This report describes our use of emergency pulmonary embolectomy along with cardiopulmonary bypass as an effective therapeutic approach in 2 cases of massive pulmonary embolism that occurred after on-pump coronary artery bypass grafting.
心脏手术后发生急性大面积肺栓塞非常罕见。尽管准确诊断和快速治疗对成功预后至关重要，但目前尚无标准的治疗方案。溶栓治疗和导管取栓术是常用的治疗选择，但它们存在风险，尤其是在冠状动脉搭桥术后发生大面积肺栓塞的患者中。开放性肺栓子切除术可能是治疗这些患者的最佳选择。本报告描述了我们在2例体外循环冠状动脉搭桥术后发生大面积肺栓塞的病例中，使用急诊肺栓子切除术并联合体外循环作为一种有效治疗方法的情况。
