[Surgical treatment of acute pulmonary embolism].


OBJECTIVE To evaluate the clinical value of surgical treatment for acute pulmonary embolism under shallow low temperature cardiopulmonary bypass. METHODS From April 2004 to October 2009, the data of 12 inpatients with acute pulmonary embolism were analyzed. Deep vein thrombosis was present in all patients. There were unilateral pulmonary embolism (n=7), bilateral pulmonary embolism (n=5), shock (n=5); heart function class III (n=7) and heart function class IV (n=5). The average time from onset to surgery was 9 hours. RESULTS Among all cases, no recurrence was observed. All showed normal heart function and fully resumed manual labor. CONCLUSION Surgical thrombectomy for acute pulmonary embolism has an excellent clinical efficacy. Its routine use should be encouraged.


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