Acute massive pulmonary embolism after pulmonary resection has a distinct clinical presentation, with survival linked to pre-operative respiratory function and absence of perioperative complications.
May warrant heightened post-resection radiological surveillance; leaves open optimal management of this rare complication.
Eighteen cases of acute massive and fatal pulmonary embolism following pulmonary resection are summarized. Clinical presentation is distinct in this group of patients. In one-third of the cases there was radiological evidence of major embolism several hours before the acute dramatic episode. At necropsy there seemed to be no correlation between the vascular area obstructed and the acute clinical deterioration. Longest survival occurred in those patients with (a) the best pre-operative respiratory function, and (b) the least operative and post-operative complications.
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Singh et al. (1970) studied this question.
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