pulmonary embolectomy
Emergency surgical removal of blood clots from the pulmonary arteries in cases of massive pulmonary embolism.
Full Definition
Pulmonary embolectomy is a life-saving surgical procedure performed for massive pulmonary embolism when thrombolytic therapy is contraindicated or has failed. The procedure involves removing embolic material from the pulmonary arteries using cardiopulmonary bypass. It is typically reserved for patients with hemodynamic instability, right heart failure, or cardiac arrest due to pulmonary embolism. The surgery requires rapid decision-making and immediate surgical intervention, as delays can be fatal. Success depends on early recognition, prompt surgical intervention, and appropriate postoperative management.
Usage
Usage note: Distinguish from pulmonary endarterectomy, which treats chronic thromboembolic disease.
In Context
- "Emergency pulmonary embolectomy was performed for massive PE with cardiogenic shock." — Emergency operative report
- "The patient survived pulmonary embolectomy with extraction of extensive clot burden." — Post-operative note