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

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Abstract

Rarely pulmonary embolectomy has also been used as a salvage procedure for acute right ventricle (RV) dysfunction following acute pulmonary embolism (APE). Complete surgical removal of thromboembolus in acute pulmonary thromboembolism is an essential pre-requisite for good outcome. Complete clearance of thromboembolic load from pulmonary arterial tree is difficult to assess intraoperatively. We hereby describe the use of flexible fibre optic bronchoscope (FFB) as angioscope to visualise the pulmonary arterial tree intraoperatively. Angioscopy ascertains the complete clearance up to subsegmental level after thromboembolectomy and aids in the removal of residual thrombus or embolus. Herein, we describe a case series of two patients, where FFB was used as angioscope during surgery for APE.

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Authors and Affiliations

  1. Department of Cardiac Surgery, G.Kuppuswamy Naidu Memorial Hospital, Coimbatore, Tamilnadu, India

    Karthik Raman, Sundar Ramanathan, Jithin Sankar & Sanka Veera Venkata Ayyappa Krishna Papa Rao

  2. Department of Cardiac Anesthesiology, G.Kuppuswamy Naidu Memorial Hospital, Coimbatore, Tamilnadu, India

    Sai Gopalakrishnan

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  1. Karthik Raman
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  2. Sundar Ramanathan
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  3. Jithin Sankar
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  4. Sanka Veera Venkata Ayyappa Krishna Papa Rao
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  5. Sai Gopalakrishnan
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Correspondence to Karthik Raman.

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Raman, K., Ramanathan, S., Sankar, J. et al. Flexible fibre optic bronchoscopy as angioscope to ascertain completeness of pulmonary embolectomy: surgery for pulmonary embolism—how I do it. Indian J Thorac Cardiovasc Surg 38, 118–121 (2022). https://doi.org/10.1007/s12055-021-01276-0

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  • DOI: https://doi.org/10.1007/s12055-021-01276-0

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