SUCCESSFUL SURGICAL TREATMENT OF MASSIVE PULMONARY EMBOLISM WITH SIMULTANEOUS MITRAL VALVE REPLACEMENT
The prevalence of pulmonary embolism is 0.5-2.0 per 1000 population per year and increases with age, reaching 10 cases per 1000 population per year among patients older than 75 years. Also the growth of disease in hospitalized patients, both surgical and therapeutic profile. Diagnosis and treatment of pulmonary embolism is difficult, because the disease in 59% of cases is not recognized during life and are diagnosed only postmortem service. In the shade are the questions co-operative interventions in patients with pulmonary embolism, in particular, the implementation of thromboembolectomy of the pulmonary artery with the subsequent implementation of intracardiac stage of the operation in the correction of the defect of the valvular apparatus of the heart. In the available literature similar clinical cases was not found. Taking into account the pathogenetic aspects of pulmonary embolism, leading to earlier dysfunction of the right ventricle of the heart, we believe it is necessary to perform simultaneous surgery of the valvular apparatus of the heart and embolectomy of pulmonary artery.