Key result
Haemorrhagic pulmonary oedema is a rare complication after acute pulmonary embolectomy but appears more frequent after chronic endarterectomies, likely due to ischaemic damage of the capillary bed.
Case Report (n=14)
Highlights haemorrhagic pulmonary oedema as a complication of pulmonary embolectomy and endarterectomy, attributed to ischaemic capillary damage.
Heightens awareness of this complication after chronic endarterectomy; hypothesis-generating case report requiring prospective validation.
A case of haemorrhagic pulmonary oedema after successful pulmonary embolectomy is presented. The relevant literature is reviewed. Thirteen cases are analysed as well as the four survivors. The aetiology appears to be ischaemic damage of the capillary bed. This had previously been called incomplete infarction by Castleman. The incidence is low after acute pulmonary embolectomies but appears to be much higher after chronic endarterectomies, especially with severe pulmonary hypertension. Therapy is outlined.
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Garvey et al. (1976) conducted a case report in Haemorrhagic pulmonary oedema (n=14). Pulmonary embolectomy was evaluated on Haemorrhagic pulmonary oedema. Haemorrhagic pulmonary oedema is a rare complication after acute pulmonary embolectomy but appears more frequent after chronic endarterectomies, likely due to ischaemic damage of the capillary bed.
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