ABSTRACT
This paper presents a case with massive pulmonary embolism which has been successfully treated at the V.M.A. Belgrade. The diagnosis of massive pulmonary thromboembolism by right heart catheterization was confirmed and urgent surgery was performed. The pulmonary embolus was surgically removed under extra corporeal circulation, given successful reanimation and anesthesia. Postoperatively was treated by mechanical ventilation, inotropic drugs and anticoagulant therapy. The presentation of this case is justified because in well organized cardiosurgical units, the urgent surgery gives most satisfactory results.
Subject(s)
Pulmonary Embolism , Humans , Male , Middle Aged , Postoperative Complications , Pulmonary Embolism/surgeryABSTRACT
The massive thrombosis of deep venous system of the lower extremities has become object of surgical treatment lately. The authors presented of I-F acute venous thrombosis of the leg upon which was an urgent thrombectomy made. The investigated clinilac material was divided in to 2 groups: I (A) were 78 patients, where as thrombectomy was made in the first 24-48 hours. In group II (B)-18 patients were presedented the control group (C) which were conservatively treated. Results obtained by early thrombectomy justified our active opinion in acute I-F thrombosis. There was no embolisation, no rethrombosis, no postphlebitic syndrome and no mortality.
