Key result
On-pump/beating heart removal of intracardiac thrombus and bilateral pulmonary embolectomy resulted in an uneventful postoperative course for a patient with severe right ventricular dysfunction.
Case Report (n=1)
Emergent on-pump/beating heart surgical embolectomy can be safely performed with excellent outcomes in patients with massive pulmonary embolism, PFO thrombus, and severe RV dysfunction.
May support on-pump beating-heart embolectomy in select massive PE with RV dysfunction; hypothesis-generating and needs prospective validation.
A 60-year-old woman was admitted due to massive bilateral pulmonary thromboembolism and entrapped thrombus in the patent foramen ovale and severe right ventricular dysfunction. The patient underwent on-pump/beating heart removal of the intracardiac thrombus and bilateral pulmonary embolectomy. The postoperative course was uneventful. The chosen surgical strategy seems to offer excellent outcome in patients with severe right ventricular dysfunction.
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Prifti et al. (2015) conducted a case report in Massive bilateral pulmonary thromboembolism and entrapped thrombus in the patent foramen ovale (n=1). On-pump/beating heart removal of intracardiac thrombus and bilateral pulmonary embolectomy was evaluated on Postoperative course. On-pump/beating heart removal of intracardiac thrombus and bilateral pulmonary embolectomy resulted in an uneventful postoperative course for a patient with severe right ventricular dysfunction.
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