Aggressive Surgical Treatment of Acute Pulmonary Embolism With Circulatory Collapse Hiroaki Takahashi, MD, PhD, Kenji Okada, MD, PhD, Masamichi Matsumori,

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Aggressive Surgical Treatment of Acute Pulmonary Embolism With Circulatory Collapse Hiroaki Takahashi, MD, PhD, Kenji Okada, MD, PhD, Masamichi Matsumori, MD, PhD, Hiroya Kano, MT, Atsushi Kitagawa, MD, PhD, Yutaka Okita, MD, PhD The Annals of Thoracic Surgery Volume 94, Issue 3, Pages 785-791 (September 2012) DOI: 10.1016/j.athoracsur.2012.03.101 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Algorithm for acute high- and intermediate-risk pulmonary embolism (PE) with right ventricular (RV) dysfunction. (GI = gastrointestinal; PCPS = percutaneous cardiopulmonary support; RA = right atrium.) The Annals of Thoracic Surgery 2012 94, 785-791DOI: (10.1016/j.athoracsur.2012.03.101) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Nonocclusive thrombus in segmental pulmonary artery was scored as 1. Nonocclusive thrombi in more proximal pulmonary arteries were scored with numbers equal to those of segmental arteries supplied from those arteries. Maximum score was 18 for thrombus in main pulmonary artery. Score was doubled for occlusive thrombus. Maximal total score is 36 per patient. The Annals of Thoracic Surgery 2012 94, 785-791DOI: (10.1016/j.athoracsur.2012.03.101) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Kaplan-Meier survival curve for 24 patients after surgical pulmonary embolectomy. The Annals of Thoracic Surgery 2012 94, 785-791DOI: (10.1016/j.athoracsur.2012.03.101) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions