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Pulmonary embolectomy in a patient with recent renal homotransplantation

Marchioro, TL and Hermann, G and Waddell, WR and Starzl, TE (1964) Pulmonary embolectomy in a patient with recent renal homotransplantation. Surgery, 55 (4). 505 - 510. ISSN 0039-6060

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Abstract

A successful case of pulmonary embolectomy is described. Diagnosis was made when the patient developed cardiac arrest in the hospital ward. The embolus was removed with the aid of cardiopulmonary bypass. The principal clot was discovered in the right pulmonary artery, with an additional small fragment in the left main pulmonary artery. Several unique features of this case increased the problems of care during and after the embolectomy. The patient had received a renal homotransplant to the left iliac fossa from a patient of a different blood type 7 weeks earlier. The embolus was thought to have originated in the left leg distal to the renal vein anastomosis. Technical details of the cardiopulmonary bypass and the subsequent vena caval plication were planned with a view to protecting the function of the graft. The presence of the renal homograft may have contributed to the original formation of the peripheral thrombus. Finally, the postoperative care was complicated by the need to provide cytotoxic drug therapy for the continued protection of the homograft. This therapy, which weakens the immunologic response of the host, had to be modified when septic complications occurred during the postoperative period. Eventual recovery was possible with minimal loss of renal function. © 1964.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Marchioro, TL
Hermann, G
Waddell, WR
Starzl, TEtes11@pitt.eduTES11
Centers: Other Centers, Institutes, or Units > Thomas E. Starzl Transplantation Institute
Date: 1 April 1964
Date Type: Publication
Journal or Publication Title: Surgery
Volume: 55
Number: 4
Page Range: 505 - 510
Institution: University of Pittsburgh
Refereed: Yes
ISSN: 0039-6060
Other ID: uls-drl:31735062123785, Starzl CV No. 65
Date Deposited: 08 Apr 2010 17:00
Last Modified: 05 Dec 2017 17:01
URI: http://d-scholarship.pitt.edu/id/eprint/3451

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