Pulmonary thromboendarterectomy almost 50 years after the first surgical attempts.
نویسندگان
چکیده
With increased experience in preoperative evaluation, surgical approach and postoperative care of chronic thromboembolic pulmonary hypertension, pulmonary thromboendarterectomy can be performed with an acceptably low risk of death. Most patients, even those in a very compromised state, have excellent, long lasting results.
منابع مشابه
Acute and chronic effects of surgical thromboendarterectomy on exercise capacity and ventilatory efficiency in patients with chronic thromboembolic pulmonary hypertension.
OBJECTIVE To assess acute and chronic effects of surgical thromboendarterectomy on exercise capacity and ventilatory efficiency in patients with chronic thromboembolic pulmonary hypertension (CTEPH). DESIGN Cardiopulmonary exercise testing was performed in 20 patients with CTEPH before thromboendarterectomy (baseline), one month after (early phase), and four months after (late phase). Peak ox...
متن کاملChronic, Massive Thrombotic Obstruction
CHRONIC, massive thrombotic obstruction of the pulmonary arteries has attracted interest recurrently through the years as a neglected cause of pulmonary hypertension of obscure etiology, usually discovered at autopsy.'-10 This form of "cor pulmonale" has been regarded as a rare entity of academic rather than therapeutic interest. Such opinions now require revision. With the advent of pulmonary ...
متن کاملChronic , Massive Thrombotic Obstruction of the Pulmonary Arteries
CHRONIC, massive thrombotic obstruction of the pulmonary arteries has attracted interest recurrently through the years as a neglected cause of pulmonary hypertension of obscure etiology, usually discovered at autopsy.'-10 This form of "cor pulmonale" has been regarded as a rare entity of academic rather than therapeutic interest. Such opinions now require revision. With the advent of pulmonary ...
متن کامل[Pulmonary thromboendarterectomy in patients with chronic thromboembolic pulmonary hypertension].
Pulmonary arterial hypertension (PAH) secondary to chronic thromboembolic obstruction is a severe and potentially fatal condition. At the same time, PAH represents a real diagnostic challenge. This is a lethal disease in which the natural progression in the majority of cases may not be modified by medical therapy. It may be the only etiology radically cured by a complex surgical procedure being...
متن کاملEffects of nitric oxide inhalation after pulmonary thromboendarterectomy for chronic pulmonary thromboembolism.
STUDY OBJECTIVES To examine the hypothesis that nitric oxide (NO) inhalation improves hemodynamics and gas exchange in patients with chronic pulmonary thromboembolism after pulmonary thromboendarterectomy. DESIGN Prospective crossover clinical study. SETTING : Surgical ICU in a national education and research hospital. PATIENTS : Seven patients (mean age +/- SD, 54 +/- 11 years) who under...
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ورودعنوان ژورنال:
- Heart
دوره 89 4 شماره
صفحات -
تاریخ انتشار 2003