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  • Title: Emergency surgical embolectomy for pulmonary emboli after failed thrombolysis.
    Author: Chu SH, Andrews D, Watanabe Y.
    Journal: Asian Cardiovasc Thorac Ann; 2009 Jun; 17(3):297-9. PubMed ID: 19643857.
    Abstract:
    A 34-year-old man presented in cardiogenic shock secondary to massive pulmonary embolism. Surgical embolectomy was performed after failed thrombolysis. Intraoperatively, a right atrial lesion and pulmonary emboli were removed. Histopathology revealed myxoma complicated by pulmonary emboli. The patient made a good recovery. This case suggests that surgical embolectomy should be considered as first-line treatment for all patients with acute massive pulmonary embolism, and not reserved for those with severe hemodynamic compromise or failed conservative management.
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