Open pulmonary embolectomy in the treatment of postoperative pulmonary embolism
https://doi.org/10.17238/2072-3180-2022-1-41-47
Abstract
Introduction. Te problem of treating patients with postoperative pulmonary embolism is quite relevant at the present time, despite the signifcant improvement in the management of patients with this pathology.
Objective. To evaluate the safety and effectiveness of open embolectomy in the treatment of postoperative pulmonary embolism.
Materials and methods. A retrospective analysis of the case histories of 40 patients who underwent open embolectomy from the pulmonary arteries in conditions of artifcial circulation for postoperative high and intermediate high risk of early death was carried out from 2010 to 2020. Lethality, hemodynamic parameters according to transthoracic echocardiography (EchoCG), postoperative complications and the duration of hospital stay were studied.
Results. 40 patients with 2 fatal outcomes (5%) were operated on. Te average age of the patients was 53.7±8.5 years, 23 people were female. PESI index averaged 106.2±27.3 points, pulmonary artery pressure - 47.7±8.19 mmHg, Miller index – 28.4±3.21 points. Afer surgery, the pressure in the pulmonary artery decreased to an average of 32.9 ± 6.38 mmHg. Te duration of stay in the intensive care unit averaged 1.77± 0.78 days, the duration of the ventilator - 849.3 ± 404.34 min. Te average hospital stay was 13.4±3.43 days.
Conclusion. Open surgical embolectomy is an effective and safe method of treatment of postoperative high and intermediate risk of death PE.
About the Authors
A. P. Medvedev
Federal State Budgetary Educational Institution of Higher Education «Privolzhsky Research Medical University» of the Ministry of Health of the Russian Federation; Specialized cardiac surgery clinical hospital named after academician B. A. Korolev
Russian Federation
Russian Federation
Medvedev Alexander Pavlovich, Professor of the Department,
MD.
603005,Nizhny Novgorod, Minin and Pozharsky sq. 10/1
Nizhny Novgorod, Vaneeva str., 209
A. S. Mukhin
Federal State Budgetary Educational Institution of Higher Education «Privolzhsky Research Medical University» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Mukhin Alexey Stanislavovich, Head of the Department, MD,
Professor
603005, Nizhny Novgorod, Minin and Pozharsky sq. 10/1
A. L. Maksimov
Specialized cardiac surgery clinical hospital named after academician B. A. Korolev
Russian Federation
Russian Federation
Maximov Anton Leonidovich, chief physician, PhD, cardiovascular
surgeon of the highest category
603950, Nizhny Novgorod, Vaneeva str., 209
K. B. Vapaev
Federal State Budgetary Educational Institution of Higher Education «Privolzhsky Research Medical University» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Vapaev Kudrat Bekberganovich, assistant of the Department
603005, Nizhny Novgorod, Minin and Pozharsky sq., 10/1
S. S. Zhurko
Specialized cardiac surgery clinical hospital named after academician B. A. Korolev
Russian Federation
Russian Federation
Zhurko Sergey Alexandrovich, Head of the department,
PhD, cardiovascular surgeon of the highest category
603950,Nizhny Novgorod, Vaneeva str., 209
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Review
For citations:
Medvedev A.P., Mukhin A.S., Maksimov A.L., Vapaev K.B., Zhurko S.S. Open pulmonary embolectomy in the treatment of postoperative pulmonary embolism. Moscow Surgical Journal. 2022;(1):41-47. (In Russ.) https://doi.org/10.17238/2072-3180-2022-1-41-47
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