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. 11.69 ± 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.
| Translated title of the contribution | Chronic thromboembolic pulmonary hypertension and its treatment with pulmonary thrombendarteriectomy |
|---|---|
| Original language | German |
| Pages (from-to) | 396-402 |
| Number of pages | 7 |
| Journal | Wiener Klinische Wochenschrift |
| Volume | 107 |
| Issue number | 13 |
| State | Published - 1995 |
| Externally published | Yes |
Keywords
- caval filter
- chronic thromboembolic pulmonary hypertension
- pulmonary thrombendarteriectomy
- recurrent lung embolism
ASJC Scopus subject areas
- Medicine(all)