Esat AKINCI, Kemal UZUN, Cenk TATAROĞLU, Ali Rıza CENAL, Hayrettin TEKÜMİT

Surgical treatment of massive pulmonary embolism occurring after coronary artery bypass surgery

Kırk beş yaşında kadın hastada koroner arter bypass ameliyatından bir hafta sonra masif pulmoner emboli gelişti. Ekokardiyografi ile pulmoner emboli doğrulandıktan sonra hasta acil olarak bir saat içinde ameliyata alındı. Pulmoner arter üzerine longitidunal insizyon yapılarak büyük miktarda trombüs çıkarıldı. Trombüs kaynağı belirlenemedi. Hasta sorunsuz olarak taburcu edildi. Üçüncü ayda yapılan kontrolde nüks ve pulmoner hipertansiyon bulgusuna rastlanmadı.

Koroner arter bypass sonrası gelişen pulmoner embolinin cerrahi tedavisi

A 45-year-old woman developed acute massive pulmonary embolism two weeks after coronary artery bypass surgery. After confirmation of pulmonary embolism with echocardiography, the patient underwent pulmonary embolectomy within one hour of admission and a huge amount of clot was extracted via an incision of the pulmonary artery. The source of thrombus could not be determined. The patient was discharged uneventfully. At the three-month follow-up, there were no signs of recurrence and pulmonary hypertension.

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