[HSF] Pulmonary embolism-RV dysfunction

[prasannasimha]

Catheter based mechanical lysis with a pigtail followed by thrombolysis 
can be done. If not then consideration for surgical embolectomy could be 
thought of. We have done quite a few catheter based lysis which gives a 
dramatic reduction in PA pressure and recovery of RV function.
Prasanna

yadav del wrote:
>  
>    
>    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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