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Mon 01 July 2013

What is the role of surgery in thromboembolic pulmonary hypertension? Pulmonary endarterectomy

Posted by Dr. Carlos Porras. This article was posted in Cirugía Cardiaca and tagged with pulmonary hypertension, endarterectomy, acute pulmonary embolism, NYHA, cardiac surgery

A short summary of the article recently published in Cardiocore by Dr. Porras and Prof. Schäfers

«What is the role of surgery in thromboembolic pulmonary hypertension? Pulmonary endarterectomy»

Carlos Porras, Hans-Joachim Schäfers

Cardiocore 2013; 48:65-8.

Chronic thromboembolic pulmonary hypertension (CTEPH) is an infrequent sequela of acute pulmonary embolism that develops in 1 to 4% of individuals, in whom thrombus material is not dissolved but organized into scar tissue. Remodeling of previously unaffected pulmonary arteries ensues, the patients develop progressive pulmonary hypertension (PH) and right heart failure. The diagnosis can be confirmed by ventilation/perfusion scanning and CT. Pulmonary angiography will give additional information, in particular with respect to central extension of scar. The administration of pulmonary vasodilators is of limited value in CTEPH. On the other hand, this disease can be treated causatively by pulmonary endarterectomy (PEA).

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