A Reappraisal of the Application of the Trendelenburg Operation to Massive Fatal Embolism

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Abstract
ALTHOUGH Trendelenburg1 had proposed and attempted pulmonary-artery embolectomy for massive embolism sixteen years previously it remained for Kirschner,2 in 1924, to perform the first successful operative procedure. Thereafter, within a seven-year period, Meyer,3 Crafoord4 and Nyström5 recorded a total of 8 embolectomies with survival. Enthusiasm for the undertaking was dampened only by Churchill's6 report, in 1934, of 10 consecutive unsuccessful arteriotomies performed at the Massachusetts General Hospital. During the preceding five-year period at this institution embolectomy operative kits had been kept in readiness in the operating suite at all times. The patient suspected of harboring a massive embolus was closely . . .

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