Emergency Pulmonary Embolectomy Using Minimally Invasive Cardiac Surgery Noriko Kodani, Takeki Ohashi, Hiroshi Iida, Souichirou Kageyama, Masato Furui,

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Emergency Pulmonary Embolectomy Using Minimally Invasive Cardiac Surgery Noriko Kodani, Takeki Ohashi, Hiroshi Iida, Souichirou Kageyama, Masato Furui, Gaku Uchino The Annals of Thoracic Surgery Volume 101, Issue 4, Pages 1569-1571 (April 2016) DOI: 10.1016/j.athoracsur.2015.04.152 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Thrombi in the left pulmonary artery. The Annals of Thoracic Surgery 2016 101, 1569-1571DOI: (10.1016/j.athoracsur.2015.04.152) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Thrombi in the right pulmonary artery. The Annals of Thoracic Surgery 2016 101, 1569-1571DOI: (10.1016/j.athoracsur.2015.04.152) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 A massive floating thrombus in the right atrium, as seen on intraoperative transesophageal echocardiography. The Annals of Thoracic Surgery 2016 101, 1569-1571DOI: (10.1016/j.athoracsur.2015.04.152) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Through a right mini-thoracotomy, the right pulmonary artery (PA) was easily identified, and exposure extended toward the pericardium. The pericardium and superior vena cava were dissected, and the pulmonary artery was widely exposed and taped. The pulmonary artery was incised vertically, and direct embolectomy was performed, followed by balloon embolectomy. (PV = pulmonary vein.) The Annals of Thoracic Surgery 2016 101, 1569-1571DOI: (10.1016/j.athoracsur.2015.04.152) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 A postoperative transesophageal echocardiogram showing no thrombus and satisfactory pulmonary blood flow in the right pulmonary artery. The Annals of Thoracic Surgery 2016 101, 1569-1571DOI: (10.1016/j.athoracsur.2015.04.152) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions