Chirurgie der zentralen Lungenembolie: Indikation, Mortalitat und Fruhmorbiditat. [Surgery of central lung embolism: indications, mortality and early morbidity]

Détails

ID Serval
serval:BIB_B1473C11F93C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Chirurgie der zentralen Lungenembolie: Indikation, Mortalitat und Fruhmorbiditat. [Surgery of central lung embolism: indications, mortality and early morbidity]
Périodique
Helvetica Chirurgica Acta
Auteur(s)
Bauer  E. P., von Segesser  L. K., Laske  A., Turina  M. I.
ISSN
0018-0181
Statut éditorial
Publié
Date de publication
10/1990
Volume
57
Numéro
2
Pages
199-202
Notes
English Abstract
Journal Article --- Old month value: Oct
Résumé
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.
Mots-clé
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
Création de la notice
14/02/2008 15:18
Dernière modification de la notice
03/03/2018 20:36
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