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Successful thrombo-embolectomy in long-standing thrombo-embolic pulmonary hypertension
  1. E. S. Nash,
  2. S. Shapiro2,
  3. A. Landau,
  4. C. N. Barnard
  1. Cardiac Clinic, Groote Schuur Hospital, the University of Cape Town, Cape Town
  2. Department of Medicine, Groote Schuur Hospital, the University of Cape Town, Cape Town
  3. Department of Surgery, Groote Schuur Hospital, the University of Cape Town, Cape Town
  4. Cardiovascular-Pulmonary Research Group, Cape Town

    Abstract

    The operative removal of thrombo-emboli from the pulmonary arteries in acute pulmonary embolism is an accepted method of treatment. The removal of thrombi that have been present for many months has been attempted less often. This case report covers the operative treatment and the pre- and post-operative physiological studies in a patient with long-standing thrombo-embolic pulmonary hypertension, in whom a large thrombus was removed under cardiopulmonary bypass from the left pulmonary artery. Dramatic clinical improvement resulted. A plea is made for a more radical approach to thrombo-embolic pulmonary hypertension when a local obstruction can be demonstrated.

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    Footnotes

    • 2 Present address: Department of Medicine, Lemuel Shattuck Hospital, 170 Morton Street, Boston, Mass., U.S.A.

    • 1 Read at the 46th South African Medical Congress, Durban, July 1967

      Supported in the Department of Medicine by the South African Council for Scientific and Industrial Research.

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