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Int J Angiol 2022; 31(03): 188-193
DOI: 10.1055/s-0042-1756178
Invited Article

Acute Massive and Submassive Pulmonary Embolism: Historical Considerations/Surgical Techniques of Pulmonary Embolectomy/Novel Applications in Donor Lungs with Pulmonary Emboli

Cody Russell 
1   The American University of the Caribbean School of Medicine, Pembroke Pines, Florida
,
Suresh Keshavamurthy 
2   University of Kentucky College of Medicine, Department of Surgery, Division of Cardiothoracic Surgery, Lexington, Kentucky
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Abstract

Pulmonary embolectomy has a chequered history but the quest to surgically treat a patient diagnosed with pulmonary embolism effectively spurred the development of cardiopulmonary bypass and a new dawn for cardiac surgery. The advent of cardiopulmonary bypass, extracorporeal membrane oxygenation, and computed tomography pulmonary angiogram has allowed rapid diagnosis and made surgical pulmonary embolectomy a relatively safe procedure that should be considered when indicated. Pulmonary emboli in donor lungs, often get rejected for transplantation. Ex vivo lung perfusion is among newly available technology with the ability to not only recondition marginal lungs but also treat donor lung pulmonary embolisms, effectively increasing the donor pool.

Keywords

pulmonary embolism - cardiopulmonary bypass - extracorporeal membrane oxygenation - ex vivo lung perfusion - surgical embolectomy

Authors' Contributions

SK and CR contributed to the acquisition, analysis, and interpretation of the data. CR drafted the manuscript. All authors critically revised the manuscript, agree to be fully accountable for ensuring the integrity and accuracy of the work, and read and approved the final manuscript


Financial Disclosure

None declared.




Publication History

Article published online:
23 September 2022

© 2022. International College of Angiology. This article is published by Thieme.

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