“…Right-heart dilatation may be found and rightventricular pressure can be measured by Doppler ultrasound. Transesophageal echocardiography can show thrombi in the main pulmonary artery (24)(25)(26).…”
Pulmonary embolectomy (on the beating heart with ECC under total bypass) under stable hemodynamics, without CPR however, still constitutes an important form of treatment of acute massive PE with excellent long-term results.
“…Right-heart dilatation may be found and rightventricular pressure can be measured by Doppler ultrasound. Transesophageal echocardiography can show thrombi in the main pulmonary artery (24)(25)(26).…”
Pulmonary embolectomy (on the beating heart with ECC under total bypass) under stable hemodynamics, without CPR however, still constitutes an important form of treatment of acute massive PE with excellent long-term results.
“…57 This classification has important therapeutic implications. Large type A thrombi are associated with a fulminant clinical course and excessive mortality, 83 so that surgical pulmonary embolectomy, occasionally guided by intraoperative transesophageal imaging, 84 should be undertaken without delay. On the other hand, elective pulmonary thromboendarterectomy may have favorable results in severely symptomatic patients with chronic type B thrombi.…”
Section: Diagnosis Of Central Pulmonary Artery Thromboembolismmentioning
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