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Retrograde Approach Without Use of a Heart-Lung Bypass

Walter H. Janke, MD

JAMA. 1968;206(1):127-128.

Abstract
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.

Author Affiliations
From Saint Joseph Hospital, Flint, Mich.

Footnotes
Reprint requests to 710 Mott Foundation Bldg, Flint, Mich 48502.

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