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Interact CardioVasc Thorac Surg 2005;4:283-284. doi:10.1510/icvts.2005.107433
© 2005 European Association of Cardio-Thoracic Surgery

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Petr Nemec
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Case report - Cardiac general

Intraoperative massive pulmonary embolism during coronary artery bypass grafting

Martin Simek*, Petr Nemec, Mojmír Cermák and Katerina Prikrylová

Department of Cardiac Surgery, University Hospital Olomouc and Palacky University School of Medicine, I.P. Pavlova 6, 775 20 Olomouc, Czech Republic

*Corresponding author. Tel.: +420 588 442 344; fax: +420 588 442 377.

E-mail address: martin.simek{at}c-mail.cz (M. Simek).

A 66-year-old female underwent elective coronary artery bypass grafting (CABG). Massive pulmonary embolism developed intraoperatively shortly after weaning from cardiopulmonary bypass. A 25-cm large venous embolus was extracted from pulmonary artery by consequently performed open pulmonary embolectomy on the beating heart. Source of extracted embolus was not postoperatively revealed. Patient remained angina-free and with no evidence of pulmonary hypertension at the 6-month follow-up.

Key Words: Coronary artery bypass grafting; Intraoperative pulmonary embolism; Open pulmonary embolectomy







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