Simultaneous Pulmonary Embolectomy and Aortic Root Replacement

Abstract

Massive pulmonary embolism (PE) is characterized by hypotension and cardiogenic shock due to right ventricular failure, and is associated with a high mortality rate. In this case study, we report a simultaneous pulmonary embolectomy and aortic root replacement in a 71-year-old woman with a known ascending aortic aneurysm who sustained a massive PE following a VATS left upper lobectomy for non-small cell lung cancer.

Key words

Aortic disease - cardiovascular surgery - pulmonary embolectomy - aortic root replacement

References

• 1 Myers P O, Fassa A A, Panos A et al. Life-threatening pulmonary embolism associated with a thrombus straddling a patent foramen ovale: report of a case.  J Cardiac Surg. 2008;  23 376-378
• 2 Oshiumi M, Hashimoto K, Sasaki T, Takakura H, Hachiya T, Onoguchi K. Right atrial myxoma complicated with pulmonary embolism.  Japanese J Thor Cardiovasc Surg. 2001;  49 449-452
• 3 Garcia-Rinaldi R, Kirby J, Martinez M J, Stevens L, Lambert M. Five year survival after concomitant pulmonary embolectomy and coronary artery bypass.  Boletin-Asociacion Medica de Puerto Rico. 1986;  78 12-13
• 4 Szeto W Y, Bavaria J E, Bowen F W, Geirsson A, Cornelius K, Hargrove W C, Pochettino A. Reoperative aortic root replacement in patients with previous aortic surgery.  Ann Thorac Surg. 2007;  84 1592-1598
• 5 Kirsch E W, Radu N C, Mekontso-Dessap A, Hillion M L, Loisance D. Aortic root replacement after previous surgical intervention on the aortic valve, aortic root, or ascending aorta.  J Thorac Cardiovasc Surg. 2006;  131 601-608