Open pulmonary embolectomy in the treatment of postoperative pulmonary embolism

Introduction. Te problem of treating patients with postoperative pulmonary embolism is quite relevant at the present time, despite the signifcant improvement in the management of patients with this pathology.Objective. To evaluate the safety and e ectiveness of open embolectomy in the treatment of postoperative pulmonary embolism.Materials and methods. A retrospective analysis of the case histories of 40 patients who underwent open embolectomy from the pulmonary arteries in conditions of artifcial circulation for postoperative high and intermediate high risk of early death was carried out from 2010 to 2020. Lethality, hemodynamic parameters according to transthoracic echocardiography (EchoCG), postoperative complications and the duration of hospital stay were studied.Results. 40 patients with 2 fatal outcomes (5%) were operated on. Te average age of the patients was 53.7±8.5 years, 23 people were female. PESI index averaged 106.2±27.3 points, pulmonary artery pressure - 47.7±8.19 mmHg, Miller index - 28.4±3.21 points. Afer surgery, the pressure in the pulmonary artery decreased to an average of 32.9 ± 6.38 mmHg. Te duration of stay in the intensive care unit averaged 1.77± 0.78 days, the duration of the ventilator - 849.3 ± 404.34 min. Te average hospital stay was 13.4±3.43 days.Conclusion. Open surgical embolectomy is an e ective and safe method of treatment of postoperative high and intermediate risk of death PE.