Two Cases of Pulmonary Embolectomy Using Retrograde Pulmonary Perfusion for Acute Pulmonary Thromboembolism

Yuki Yoshioka＊	Kentaro Tamura＊＊	Yuki Otsuki＊＊
Atsuhisa Ishida＊＊＊	Genta Chikazawa＊＊＊	Arudo Hiraoka＊＊
Toshinori Totsugawa＊＊	Ryusuke Suzuki＊	Hidenori Yoshitaka＊＊
Taichi Sakaguchi＊＊

（Department of Cardiovascular Surgery, Japanese Red Cross Kumamoto Hospital＊, Kumamoto, Japan, Department of Cardiovascular Surgery＊＊, and Department of Peripheral Vascular Surgery＊＊＊, The Sakakibara Heart Institute of Okayama, Okayama, Japan）

Pulmonary thromboembolism（PTE）is a life-threatening disease, and in severe cases is required surgical treatment. Emergency pulmonary embolectomy using retrograde pulmonary perfusion（RPP）as an adjunct was successfully performed in 2 patients suffering from massive acute PTE. After removal of the pulmonary thrombus via incision of the pulmonary artery trunk, RPP via the right upper pulmonary vein was performed, which enabled the removal of residual thrombotic material and air from the peripheral branches of pulmonary arteries.

 

Jpn. J. Cardiovasc. Surg. 47:196-200（2018）

Keywords：retrograde pulmonary perfusion;pulmonary embolectomy;acute pulmonary thromboembolism