Acute Pulmonary Thromboembolism: 14 Years of Surgical Experience / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 78-84, 2019.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-761842
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND:
Pulmonary thromboembolism (PTE) is a life-threatening disease with high mortality. This study aimed to assess the outcomes of surgical embolectomy and to clarify the sustained long-term effects of surgery by comparing preoperative, postoperative, and long-term follow-up echocardiography outcomes. Of 22 survivors, 21 were followed up for a mean (median) period of 6.8±5.4 years (4.2 years).METHODS:
We retrospectively reviewed 27 surgical embolectomy cases for massive or submassive acute PTE from 2003 to 2016. Immediate and long-term follow-up outcomes of surgical embolectomy were assessed on the basis of 30-day mortality, long-term mortality, postoperative complications, right ventricular systolic pressure, and tricuspid regurgitation grade.RESULTS:
The 30-day and long-term mortality rates were 14.8% (4 of 27) and 4.3% (1 of 23), respectively. Three patients had major postoperative complications, including hypoxic brain damage, acute kidney injury, and endobronchial bleeding, respectively (3.7% each). Right ventricular systolic pressure (median [range], mm Hg) decreased from 62.0 (45.5–78.5) to 31.0 (25.7–37.0, p<0.001). The tricuspid valve regurgitation grade (median [range]) decreased from 1.5 (0.63–2.00) to 0.50 (0.50–1.00, p<0.05). The improvement lasted until the last echocardiographic follow-up.CONCLUSION:
Surgical embolectomy revealed favorable mortality and morbidity rates in patients with acute massive or submassive PTE, with sustained long-term improvements in cardiac function.
Texto completo:
Disponible
Contexto en salud:
ODS3 - Meta 3.4 Reducir las muertes prematuras por enfermedades no transmisibles
Problema de salud:
Enfermedad Cardiovascular
/
Otras Enfermedades Respiratorias
/
Enfermedad Tromboembólica Venosa
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Complicaciones Posoperatorias
/
Embolia Pulmonar
/
Insuficiencia de la Válvula Tricúspide
/
Presión Sanguínea
/
Ecocardiografía
/
Puente Cardiopulmonar
/
Hipoxia Encefálica
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Mortalidad
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Año:
2019
Tipo del documento:
Artículo