[Chronic thromboembolic pulmonary hypertension and its treatment with pulmonary thrombendarterectomy].

Abstract:

:Chronic recurrent pulmonary embolism can lead to extensive pulmonary hypertension by obstruction of the pulmonary vessels. Pulmonary thrombendarteriectomy is a new approach to normalizing the elevated pulmonary vascular resistance by removal of the adsorbed thrombi. Between 1992 and 1994 we have operated on 8 patients aged between 34 and 62 years. The first patient died due to extensive reperfusion edema, all others showed significant improvement in hemodynamic parameters (mean pulmonary artery pressure preop. 63 +/- 5 mmHg; postop. 30 +/- 9 mmHg; Cardiac Index preop. 2.0 +/- 0.2 l/min; postop. 3.5 +/- 0.5 l/min; pulmonary vascular resistance preop. 1169 +/- 75 dyn; postop. 228 +/- 55 dyn) and exercise performance (NYHA classification preop. III-IV, postop. I-II). Pulmonary thrombendarteriectomy represents an efficient method to normalize elevated pulmonary pressure and exercise performance of patients with far-advanced chronic thromboembolic pulmonary hypertension.

journal_name

Wien Klin Wochenschr

authors

Klepetko W,Moritz A,Burghuber OC,Ziesche R,Kneussl M,Lang I,Mares P,Hiesmayer M,Kontrus M,Herold C

subject

Has Abstract,Author List Incomplete

pub_date

1995-01-01 00:00:00

pages

396-402

issue

13

eissn

0043-5325

issn

1613-7671

journal_volume

107

pub_type

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