ArticleJACC. Case reports2025
Emergency Pulmonary Thromboendarterectomy in Malignancy.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
backgroundPulmonary thromboendarterectomy (PTE) is the treatment of choice for operable chronic thromboembolic pulmonary hypertension, and it is typically planned electively after thorough diagnostic evaluation. CASE SUMMARY: We present the case of a 49-year-old woman with breast cancer who underwent an emergency PTE after presenting with acute-on-chronic pulmonary embolism, acute right ventricular dysfunction, and a thrombus-in-transit via a patent foramen ovale. DISCUSSION: Emergency PTE is rarely undertaken owing to complexity, the need for deep hypothermic circulatory arrest, and the high perioperative risk. Moreover, patients with active cancer are generally considered poor surgical candidates. We therefore report this case of an emergency PTE and patent foramen ovale closure in a hemodynamically unstable patient with breast cancer. To the best of our knowledge, this has not been previously documented in the literature. TAKE-HOME MESSAGE: Emergency PTE can be an effective intervention in selected patients with active malignancy.
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