Matsuzaki K, Koishizawa T, Hiramatsu Y
Department of Cardiovascular Surgery, Tsukuba Memorial Hospital, Ibaraki, Japan.
Kyobu Geka. 1998 Jun;51(6):461-3.
A 61-year-old woman was transferred to our hospital because of palpitation, tachypnea and repeated syncopal attack. On admission, sinus tachycardia and hypoxia were noted without deterioration of consciousness. The diagnosis of pulmonary embolism was made by pulmonary angiography and right heart catheterization showing multiple pulmonary emboli and pulmonary hypertension. An emergent pulmonary embolectomy was performed under total cardiopulmonary bypass. Residual emboli of bilateral pulmonary arteries were detected with a fiberoptic choledochoscope and removed carefully with forceps. Pulmonary angioscopic evaluation appears to be safe and useful for direct visual detection of emboli and completion of embolectomy.
一名61岁女性因心悸、呼吸急促和反复晕厥发作被转诊至我院。入院时，发现窦性心动过速和缺氧，但意识无恶化。通过肺血管造影和右心导管检查诊断为肺栓塞，显示多发肺栓塞和肺动脉高压。在全体外循环下进行了急诊肺栓子切除术。用纤维胆道镜检测到双侧肺动脉残留栓子，并用镊子小心取出。肺血管镜评估对于直接目视检测栓子和完成栓子切除术似乎是安全且有用的。
