[Pulmonary thrombendarteriectomy]

Demertzis, S; Schäfers, H J (1997). [Pulmonary thrombendarteriectomy]. Medizinische Klinik, -(92 Suppl 5), pp. 23-6. München: Springer-Medizin-Verlag 10.1007/BF03041975

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BACKGROUND: Chronic thromboembolic pulmonary hypertension is a late sequela following acute pulmonary embolism. Incomplete resolution of thrombotic material results in persistent obstruction of the pulmonary arterial bed, which can be treated by pulmonary thrombendarterectomy. METHOD AND RESULTS: This desobliteration of the pulmonary arteries is performed under conditions of deep hypothermia and circulatory arrest. Currently, perioperative mortality ranges between 10 and 15% and is mainly limited by persistent diffuse pulmonary artery disease independent of central obstruction. Postoperatively, pulmonary vascular resistance is normalized. Exercise tolerance of the patients is likewise improved. CONCLUSION: Thus, pulmonary thrombendarterectomy is an effective treatment for chronic thromboembolic pulmonary hypertension with results superior to those of lung transplantation.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Faculty Institutions > Teaching Staff, Faculty of Medicine

UniBE Contributor:

Demertzis, Stefanos

ISSN:

0723-5003

ISBN:

19479392

Publisher:

Springer-Medizin-Verlag

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:08

Last Modified:

04 May 2014 23:21

Publisher DOI:

10.1007/BF03041975

PubMed ID:

19479392

Web of Science ID:

000071128300004

URI:

https://boris.unibe.ch/id/eprint/29719 (FactScience: 157906)

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