Operative and Perioperative Pulmonary Emboli

Thorac Surg Clin. 2015 Aug;25(3):289-99. doi: 10.1016/j.thorsurg.2015.04.010. Epub 2015 Jun 12.

Abstract

Intraoperative and perioperative massive pulmonary emboli remain an unusual but well-established cause of death. Improved outcomes rely on a high index of suspicion, prompt recognition, and aggressive intervention. Surgical embolectomy outcomes have improved drastically since its inception as a technique at the turn of the previous century and should be used without hesitation during an intraoperative crisis in which pulmonary embolism has been determined to be the cause. There is an emerging trend toward a more aggressive approach.

Keywords: Operative; Perioperative; Pulmonary embolectomy; Pulmonary emboli; Venous thromboembolism.

Publication types

  • Review

MeSH terms

  • Echocardiography, Transesophageal
  • Embolectomy / methods
  • Humans
  • Intraoperative Complications / diagnostic imaging
  • Intraoperative Complications / therapy*
  • Perioperative Care / methods
  • Pulmonary Embolism / diagnostic imaging
  • Pulmonary Embolism / etiology
  • Pulmonary Embolism / therapy*
  • Risk Factors
  • Thoracic Surgical Procedures / adverse effects