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Pulmonary MicroembolismA Cause of Morbidity and Death After Major Vascular Surgery
F. WILLIAM BLAISDELL, MD;
ROBERT C. LIM, JR., MD;
JOHN R. AMBERG, MD;
S. H. CHOY, MD;
ALBERT D. HALL, MD;
ARTHUR N. THOMAS, MD
AMA Arch Surg. 1966;93(5):776-786.
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A REVIEW of 400 major vascular reconstructive procedures performed at San Francisco Veterans Administration Hospital in the past six years revealed that most of the serious morbidity and mortality occurs in the emergency cases. There were 25 deaths in 106 emergency operations for aneurysm and occlusive disease and only six deaths in 269 elective operations of the same type (Table 1). The most significant finding was that 18 out of the 31 deaths in both emergency and elective groups were related to cardiopulmonary complications. If the eight immediate deaths from exsanguination (in the ruptured aneurysm group) are excluded, three fourths of the postoperative deaths from arterial reconstruction for disease of the infrarenal aorta or its branches were due to problems with the heart and lungs.
Analysis of these cardiopulmonary deaths showed that many had a common group of findings which were not congestive failure, myocardial infarction, or pneumonia, despite the
. . . [Full Text PDF of this Article]
Author Affiliations
SAN FRANCISCO
From the departments of surgery, radiology, and pathology, Veterans Administration Hospital, and University of California School of Medicine, San Francisco.
Footnotes
Read before the 14th Scientific Meeting of the North American Chapter of the International Cardiovascular Society, Chicago, June 25, 1966.
Reprint requests to Veterans Administration Hospital, 42nd Ave & Clement St, San Francisco 94121 (Dr. Hall).
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