Nonsurgical treatment of a patient with decompensated right ventricular failure due to chronic thromboembolic pulmonary hypertension with proximal clot location-A case report.

IF 2.2 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Pulmonary Circulation Pub Date : 2024-06-23 eCollection Date: 2024-04-01 DOI:10.1002/pul2.12400

Marta Braksator, Magdalena Jachymek, Amena Rahmani, Katarzyna Widecka, Maciej Lewandowski, Łukasz Jodko, Małgorzata Peregud-Pogorzelska

引用次数: 0

Abstract

Chronic thromboembolic pulmonary hypertension (CTEPH) is a disease resulting from impaired patency of the pulmonary arteries by a clot, and the treatment method of choice is pulmonary endarterectomy (PEA). In inoperable patients, balloon pulmonary angioplasty (BPA) is recommended, but we need to implement pharmacological bridge therapy to BPA in some cases. We report a case of a 38-year-old male diagnosed with CTEPH, disqualified from PEA due to comorbidity, who developed right ventricular (RV) failure. The case shows a complex pharmacological treatment method that can be successfully used as an effective bridge therapy to BPA in patients with CTEPH and severe RV dysfunction, disqualified from surgery.

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慢性血栓栓塞性肺动脉高压患者右心室失代偿期的非手术治疗--病例报告。

慢性血栓栓塞性肺动脉高压（CTEPH）是一种因血栓导致肺动脉通畅性受损而引起的疾病，首选治疗方法是肺动脉内膜剥脱术（PEA）。对于无法手术的患者，建议采用球囊肺血管成形术（BPA），但在某些情况下，我们需要为 BPA 实施药物桥接疗法。我们报告了一例确诊为 CTEPH 的 38 岁男性患者的病例，他因合并症被取消了 PEA 的资格，并出现了右心室（RV）衰竭。该病例显示了一种复杂的药物治疗方法，它可以成功地作为一种有效的桥接疗法，用于 CTEPH 和严重 RV 功能障碍且不符合手术条件的患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pulmonary Circulation Medicine-Pulmonary and Respiratory Medicine

CiteScore

4.20

自引率

11.50%

发文量

153

审稿时长

15 weeks

期刊介绍： Pulmonary Circulation''s main goal is to encourage basic, translational, and clinical research by investigators, physician-scientists, and clinicans, in the hope of increasing survival rates for pulmonary hypertension and other pulmonary vascular diseases worldwide, and developing new therapeutic approaches for the diseases. Freely available online, Pulmonary Circulation allows diverse knowledge of research, techniques, and case studies to reach a wide readership of specialists in order to improve patient care and treatment outcomes.