Pulmonary angiograms of patients with massive pulmonary embolism will often demonstrate complete occlusion of one pulmonary artery with little involvement of the other lung. In this group of patients, a unilateral pulmonary embolectomy through a posterolateral approach will afford a simple way of performing a meticulous cleaning of the affected pulmonary artery and all its branches. This method was used successfully in a 64-year-old woman.
Janke WH. Pulmonary Embolectomy: Retrograde Approach Without Use of a Heart-Lung Bypass. JAMA. 1968;206(1):127–128. doi:10.1001/jama.1968.03150010075024
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