Pulmonary Thromboendarterectomy for Pulmonary Hypertension Caused by Chronic Pulmonary Thromboembolism / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 626-632, 2006.
Artigo
em Coreano
| WPRIM
| ID: wpr-134279
ABSTRACT
BACKGROUND:
Pulmonary hypertension caused by chronic pulmonary embolism is underrecognized and carries a poor prognosis. Medical therapy is generally unsatisfactory and palliative. With the improvemet of operative technique and postoperative management, pulmonary endarterectomy has been the treatment of choice for this condition. MATERIAL ANDMETHOD:
Between January 2001 and Decomber 2005, eleven patients were received pulmonary endarterectomy. All patients had chronic dyspnea and exercise intolerance. Diagnosis was made with cardiac echocardiography, lung perfusion scan and computed tomography. Before the operation, Greenfield vena cava filter were placed in all patient except one. Deep hypothermic circulatory arrest was used for the distal-most portion of the endarterectomy procedure. More than moderate degree of tricuspid reguirgitation was repaired during operation.RESULT:
There was no early and late death. Right ventricular systolic pressure was reduced significantly after operation from 91+/-21 mmHg to 40+/-17 mmHg on echocardiography (p=0.001). NYHA class and tricuspid reguirgitaion were improved postoperatively. Although mild reperfusion injury in three case and postoperative delirium in one case were observed, all of them recovered without complication.CONCLUSION:
Pulmonary thromboendarterctomy offers to patient an acceptable morbidity rate and anticipation of clinical improvement. This method is safe and effective operation for pulmonary hypertension caused by chronic pulmonary thromboembolism.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Perfusão
/
Prognóstico
/
Embolia Pulmonar
/
Pressão Sanguínea
/
Ecocardiografia
/
Traumatismo por Reperfusão
/
Filtros de Veia Cava
/
Delírio
/
Diagnóstico
/
Dispneia
Tipo de estudo:
Estudo diagnóstico
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2006
Tipo de documento:
Artigo
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