DIE CHRONISCH-THROMBOEMBOLISCHE PULMONALE HYPERTENSION UND IHRE BEHANDLUNG MIT DER PULMONALEN THROMBENDARTERIEKTOMIE

Translated title of the contribution: Chronic thromboembolic pulmonary hypertension and its treatment with pulmonary thrombendarteriectomy

W. Klepetko, A. Moritz, O. C. Burghuber, R. Ziesche, M. Kneussl, I. Lang, P. Mares, M. Hiesmayer, M. Kontrus, C. Herold, W. Wisser, J. Lammer, E. Wolner

Research output: Contribution to journalArticlepeer-review

Abstract

Chronic recurrent pulmonary embolism can lead to extensive pulmonary hypertension by obstruction of the pulmonary vessels. Pulmonary thrombendarteriectomy is a new approach to normalizing the elevated pulmonary vascular resistance by removal of the adsorbed thrombi. Between 1992 and 1994 we have operated on 8 patients aged between 34 and 62 years. The first patient died due to extensive reperfusion edema, all others showed significant improvement in hemodynamic parameters (mean pulmonary artery pressure preop. 63 ± 5 mmHg; postop. 30 ± 9 mmHg; Cardiac Index preop. 2.0 ± 0.2 l/min; postop. 3.5 ± 0.5 l/min; pulmonary vascular resistance preop. 11.69 ± 75 dyn; postop. 228 ± 55 dyn) and exercise performance (NYHA classification preop. III-IV, postop. I-II). Pulmonary thrombendarteriectomy represents an efficient method to normalize elevated pulmonary pressure and exercise performance of patients with far-advanced chronic thromboembolic pulmonary hypertension.

Translated title of the contributionChronic thromboembolic pulmonary hypertension and its treatment with pulmonary thrombendarteriectomy
Original languageGerman
Pages (from-to)396-402
Number of pages7
JournalWiener Klinische Wochenschrift
Volume107
Issue number13
StatePublished - Jul 6 1995

Keywords

  • caval filter
  • chronic thromboembolic pulmonary hypertension
  • pulmonary thrombendarteriectomy
  • recurrent lung embolism

ASJC Scopus subject areas

  • Medicine(all)

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