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Ann Thorac Surg. 1999 Jun;67(6):1785-7.

Successful thrombolysis for massive pulmonary embolism after pulmonary resection.

Author information

1
Cardiothoracic Surgical Unit, Papworth Hospital, Cambridge, United Kingdom.

Abstract

We report the successful use of thrombolysis for acute massive pulmonary embolism 2 days after right lower lobectomy for bronchial adenocarcinoma. Pulmonary angiography revealed extensive clot unsuitable for surgical embolectomy. A bolus infusion of recombinant tissue plasminogen activator produced an immediate improvement in the patient's hemodynamic state. There was substantial blood loss requiring the transfusion of 21 units of blood over the postoperative period. The patient made a successful recovery and remained well at 1 year.

PMID:
10391296
DOI:
10.1016/s0003-4975(99)00346-x
[Indexed for MEDLINE]

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