[HSF] Pulmonary embolism-RV dysfunction

yadav del yadavluck at yahoo.com
Thu Aug 2 02:17:59 EDT 2007


 
   
   25 yrs old   female developed pulmonary embolism on 2 nd post op day after repair of incisional hernia. CT scan showed emboli at both hila .Only left lower lobe artery is spared from emboli. Duplex scan showed bilateral ilio- femoral dvt. She iss haemodynamically stable. Saturation   94% with out oxygen and 98% on 2litres oxygen. Echo showed RV dysfunction. 
   
  Should she be   offered pulmonary embolectomy in view of RV  dysfunction ?

       
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