Chirurgie der zentralen Lungenembolie: Indikation, Mortalitat und Fruhmorbiditat. [Surgery of central lung embolism: indications, mortality and early morbidity]
Details
Serval ID
serval:BIB_B1473C11F93C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Chirurgie der zentralen Lungenembolie: Indikation, Mortalitat und Fruhmorbiditat. [Surgery of central lung embolism: indications, mortality and early morbidity]
Journal
Helvetica Chirurgica Acta
ISSN
0018-0181
Publication state
Published
Issued date
10/1990
Volume
57
Number
2
Pages
199-202
Notes
English Abstract
Journal Article --- Old month value: Oct
Journal Article --- Old month value: Oct
Abstract
Between 1979 and 1988 massive pulmonary embolism (PE) was treated surgically in 36 patients with extracorporeal circulation (ECC). Circulation was stable in 11 patients and unstable in 25; in this group 9 had previous resuscitation because of cardiac arrest. There were 7/36 early deaths (19%); 5 of those patients had to be resuscitated prior to surgery. Deaths were caused mainly by cerebral edema or hemorrhage. Significant complications occurred in 8 patients (28%). Diagnoses of PE was made clinically in most cases; confirmation by echocardiography was useful. Pulmonary angiography was made in patients with uncertain diagnosis and stable circulation. Operation is indicated in patients with unstable circulation and proved central PE; it is advisible in patients with embolism of the main pulmonary artery or its major branches. Hospital mortality is very high when the patient has to be resuscitated preoperatively; in this group surgery should be performed only in younger patients with a short period of resuscitation. Interruption of the inferior vena cava should be performed to prevent recurrent PE.
Keywords
Adult
Aged
Brain Edema/mortality
*Cause of Death
Cerebral Hemorrhage/mortality
Female
Humans
Male
Middle Aged
Postoperative Complications/*mortality
Pulmonary Embolism/*surgery
Risk Factors
Pubmed
Web of science
Create date
14/02/2008 14:18
Last modification date
20/08/2019 15:20