[Indications for pulmonary embolectomy].

Acute massive pulmonary embolism continues to be a major problem even though thrombolysis and surgical management have become well established methods of treatment. Our experiences demonstrate that the need for pulmonary embolectomy is rare, today embolectomy must be considered, when thrombolytics are contraindicated or ineffective, as emergency operation in moribund patients with sudden massive pulmonary embolism, in carefully selected cases with chronic post-embolic obstruction of pulmonary arteries.