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(Chest. 1999;115:1749-1751.)
© 1999 American College of Chest Physicians

Intraoperative Detection of Pulmonary Thromboemboli With Epicardial Echocardiography*

Amnon Y. Zlotnick , MD; Paul F. Lennon , MD; Samuel Z. Goldhaber , MD, FCCP and Sary F. Aranki , MD

* From the Department of Cardiothoracic Surgery (Dr. Zlotnik), Carmel Medical Center, Haifa, Israel; and the Departments of Anesthesia (Dr. Lennon), Medicine (Dr. Goldhaber), and Surgery (Dr. Aranki), Brigham and Women's Hospital, Boston, MA.

We report a novel intraoperative use of epicardial echocardiography in detecting and guiding the removal of pulmonary arterial thromboemboli. We describe a patient with a right atrial thrombus that could not be visualized with intraoperative transesophageal echocardiography. Because we suspected acute pulmonary embolization, epicardial echocardiography was used to visualize the right and left pulmonary arteries. Pulmonary thromboemboli were identified, and pulmonary thromboembolectomy was successfully performed.

Abbreviation: TEE = transesophageal echocardiography

Key Words: epicardial echocardiography • pulmonary embolus • thromboembolus • thrombus • transesophageal echocardiography




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