Off Pump Pulmonary Embolectomy a New Paradigm in CV Surgery

Pulmonary embolectomy is a surgical procedure performed to remove blood clots, known as emboli, from the pulmonary arteries in the lungs. These clots typically originate from deep vein thrombosis (DVT) in the legs and can travel to the lungs, causing a life-threatening condition called pulmonary embolism. During the procedure, a surgeon makes an incision in the chest and accesses the pulmonary arteries to remove the clots. Pulmonary embolectomy is considered when patients have massive or submassive pulmonary embolism, where the clots severely obstruct blood flow to the lungs, causing significant symptoms or hemodynamic instability. While it's an invasive procedure, pulmonary embolectomy can be lifesaving for patients who do not respond to other treatments or are at high risk of complications from pulmonary embolism.