Pulmonary Thromboendarterectomy Under Total Circulatory Arrest.
- Author:
Chang Young KIM
1
;
Chang Hyeun KANG
;
Hyuk AHN
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea. ahnhyuk@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Pulmonary embolism;
Thromboendarterectomy, pulmonary
- MeSH:
Endarterectomy*;
Hospital Mortality;
Humans;
Hypertension, Pulmonary;
Lung Transplantation;
Patient Selection;
Pulmonary Embolism
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2002;35(9):684-687
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Besides lung transplantation, pulmonary thromboembolectomy is the only effective therapeutic option for chronic thromboembolic pulmonary hypertension. It is however associated with a considerably high hospital mortality between 6.6 to 23%. Proper patient selection is critical when considering a patient for pulmonary thromboembolectomy. And It cannot be overemphasised that the key to the success of the operation is complete endarterectomy of the entire pulmonary arterial tree. We report that pulmonary thromboendarterectomy under total circulatory arrest was an effective and safe method in the surgical correction of the chronic thromboembolic pulmonary hypertension and enabled complete removal of superimposed peripheral organized thrombi in a good operative field.
