Pulmonary Endarterectomy: A Stepwise Approach

Q3 Medicine

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-09-01 DOI:10.1053/j.optechstcvs.2022.04.006

Anthony L. Zaki, Haytham Elgharably, Michael Z. Tong

引用次数: 0

Abstract

Chronic thromboembolic pulmonary hypertension (CTEPH) is an underdiagnosed complication of acute pulmonary embolism that is potentially curable with pulmonary thromboendarterectomy (PTE). Proper patient selection within the scope of a multidisciplinary team and detailed preoperative imaging is essential for successful outcomes. The operation itself is technically demanding and requires complete, bilateral endarterectomy down to the subsegmental branches on cardiopulmonary bypass with brief periods of deep hypothermic circulatory arrest. Finally, postoperative care is unique for PTE patients and is best conducted within the care of a multidisciplinary team.

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肺内膜切除术:渐进式入路

慢性血栓栓塞性肺动脉高压(CTEPH)是急性肺栓塞的一种未被诊断的并发症，可以通过肺血栓动脉内膜切除术(PTE)治愈。在多学科团队的范围内适当的患者选择和详细的术前成像对于成功的结果至关重要。手术本身在技术上要求很高，需要在体外循环中进行完整的双侧动脉内膜切除术，直至亚节段分支，并伴有短时间的深度低温循环停止。最后，术后护理对PTE患者来说是独特的，最好在多学科团队的护理下进行。

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

Operative Techniques in Thoracic and Cardiovascular Surgery Medicine-Surgery

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： Operative Techniques in Thoracic and Cardiovascular Surgery provides richly illustrated articles on techniques in thoracic and cardiovascular surgery written by renowned surgeons. Each issue presents cardiothoracic topics in adult cardiac, congenital, and general thoracic surgery. Each specialty of interest to the thoracic and cardiovascular surgeon is explored through two different approaches to a specific surgical challenge. Each article is thoroughly illustrated with original line drawings, actual intraoperative photos, and supporting tables and graphs.