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

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Presentation on theme: "Emergency Pulmonary Embolectomy Using Minimally Invasive Cardiac Surgery  Noriko Kodani, Takeki Ohashi, Hiroshi Iida, Souichirou Kageyama, Masato Furui,"— Presentation transcript:

1 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 (April 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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

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

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

5 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  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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

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