Flexible fibre optic bronchoscopy as angioscope to ascertain completeness of pulmonary embolectomy: surgery for pulmonary embolism—how I do it

Raman, Karthik; Ramanathan, Sundar; Sankar, Jithin; Rao, Sanka Veera Venkata Ayyappa Krishna Papa; Gopalakrishnan, Sai

doi:10.1007/s12055-021-01276-0

Cited by 1 publication

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“…However, the procedure and outcome of surgical pulmonary embolectomy have been greatly improved by the use of intraoperative flexible fiber scopes (i.e. fiberoptic bronchoscope, endoscope) to clear and directly visualize the pulmonary arteries [ 7 – 9 ]. In the present case report, we successfully used a choledochoscope to visualize and guide the clearance of a pulmonary tree thromboembolism.…”

Section: Discussionmentioning

confidence: 99%

Choledochoscope-guided treatment of pulmonary embolism caused by ventricular myxoma

Mao

Wang

Wei

et al. 2023

J Cardiothorac Surg

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A 33-year male patient presented with a 6-month history of cough and shortness of breath upon physical activity. Echocardiography demonstrated right ventricular space-occupying lesions. Contrast-enhanced computed tomography of the chest showed multiple emboli in the pulmonary artery and its branches. Right ventricle tumor (myxoma) resection, tricuspid valve replacement, and clearance of the pulmonary artery thrombus were performed under cardiopulmonary bypass. Minimally invasive forceps and balloon urinary catheters were used to clear the thrombus. Clearance was confirmed by direct visualization using a choledochoscope. The patient recovered well and was discharged. The patient was prescribed oral warfarin 3 mg/day, and the international normalized ratio for prothrombin time was maintained between 2.0 and 3.0. Pre-discharge echocardiogram showed no lesion in the right ventricle or pulmonary arteries. The 6-month follow-up echocardiography indicated that the tricuspid valve was functioning well and showed no thrombus in the pulmonary artery.

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Section: Discussionmentioning

confidence: 99%