Investigation the Clinical and Prognostic Protests of the Patients with Massive and Acute Pulmonary Artery Embolism after Surgery during 2006 to 2012 at Masih Daneshvari Hospital of Tehran

Hossain Ahmadi, Z; Pejhan, S; Khorshidi, HR; Sharif Kashashani, B; Z, Ansari Aval; Emami, H; Niayesh, A; Farzanegan, R

Investigation the Clinical and Prognostic Protests of the Patients with Massive and Acute Pulmonary Artery Embolism after Surgery during 2006 to 2012 at Masih Daneshvari Hospital of Tehran

Document Type : Original Article

Authors

Z Hossain Ahmadi

S Pejhan

HR Khorshidi

B Sharif Kashashani

Ansari Aval Z

H Emami

A Niayesh

R Farzanegan

Assistant Professor of General Surgery, Hamadan University of Medical Sciences and Health Services, Beasat Hospital, Hamadan, Iran

Abstract

Introduction & Objective: Despite recent advances in both medical and surgical treatment strategies, no defined treatment algorithm exists for massive pulmonary embolism (PE). Our objective was to analyze our experience with surgical embolectomy in patients with acute massive pulmonary embolism. Materials & Methods: In an observational study, 15 patients were studied who suffered from acute massive pulmonary embolism. They had visited the cardiothoracic ward of the Masih Daneshvari Hospital and undergone embolectomy, in which the cardiopulmonary bypass technique was used and the median sternotomy surgical procedure was performed, between the years 2006 and 2012. Acquired data were analyzed statistically with the SPSS 17, and T-test and Non parametric test were used whenever was necessary. Results: The average age of the patients was 52.13 years. The average time between diagnosis of the disease and the surgical operation was 44.53±53.40 hours, and the average time spent at the ICU after the operation was 12.26±9.95 days. Twelve patients suffered from short breath, six from pleuritic pain, five from coughs, three from hemoptysis, and two from weakness and premature tiredness. Tachycardia was observed in 66.6 percent of the patients and tachypnia in 60 percent. Fourteen patients had undergone echocardiography and sonography had been performed on 11 patients. Four patients (20%) had undergone fibrinolytic therapy before the operation. Forty percent of the patients died. Conclusions: Results of this study, show that pulmonary embolectomy is a suitable procedure with acceptable results in treating acute massive pulmonary embolism.

Keywords

Acute Massive Pulmonary Embolism

Embolectomy

Mortality