急性肺血栓塞栓症に対して，逆行性肺灌流法を用いて肺塞栓摘除術を施行した2例

吉岡 祐希; 田村 健太郎; 大月 優貴; 石田 敦久; 近沢 元太; 平岡 有努; 都津川 俊範; 鈴木 龍介; 吉鷹 秀範; 坂口 太一

doi:10.4326/jjcvs.47.196

[Aortic Disease]

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

Author information

Yuki Yoshioka
Department of Cardiovascular Surgery, Japanese Red Cross Kumamoto Hospital
Kentaro Tamura
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama
Yuki Otsuki
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama
Atsuhisa Ishida
Department of Peripheral Vascular Surgery, The Sakakibara Heart Institute of Okayama
Genta Chikazawa
Department of Peripheral Vascular Surgery, The Sakakibara Heart Institute of Okayama
Arudo Hiraoka
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama
Toshinori Totsugawa
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama
Ryusuke Suzuki
Department of Cardiovascular Surgery, Japanese Red Cross Kumamoto Hospital
Hidenori Yoshitaka
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama
Taichi Sakaguchi
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama

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

JOURNAL FREE ACCESS

2018 Volume 47 Issue 4 Pages 196-200

DOI https://doi.org/10.4326/jjcvs.47.196

Details

Abstract

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.

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