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- Title
Minimally invasive off-pump surgical pulmonary embolectomy for improved patient-centred care.
- Authors
Ayers, Brian; Wood, Katherine; Bjelic, Milica; Gosev, Igor
- Abstract
We present a complicated case of massive pulmonary embolism occurring 11 weeks after a craniotomy in a patient with multiple high-risk comorbidities. The patient underwent successful pulmonary artery surgical embolectomy via left mini-thoracotomy incision on peripheral venoarterial extracorporeal membrane oxygenation support. For this patient, avoiding a sternotomy allowed for greatly decreased postoperative morbidity and the use of venoarterial extracorporeal membrane oxygenation allowed for the avoidance of intraoperative anticoagulation. This case demonstrates the feasibility of off-pump surgical pulmonary embolectomy via left mini-thoracotomy as a treatment strategy for appropriate patients to improve patient-centred care.
- Subjects
EXTRACORPOREAL membrane oxygenation; PULMONARY embolism; PULMONARY artery
- Publication
European Journal of Cardio-Thoracic Surgery, 2021, Vol 59, Issue 5, p1126
- ISSN
1010-7940
- Publication type
Article
- DOI
10.1093/ejcts/ezaa380