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10.5606/tgkdc.dergisi.2013.5159
The role of pulmonary thromboendarterectomy in management of chronic thromboembolic pulmonary hypertension: a case report
Oğuzhan Okutan1, Bedrettin Yıldızeli2, Tuba Nihal Ursavaş1, Ömer Ayten1, Turgut Öztutgan1, Ersin Demirer1, Zafer Kartaloğlu1
1GATA Haydarpaşa Eğitim Hastanesi, Göğüs Hastalıkları Kliniği, İstanbul, Türkiye
2Marmara Üniversitesi Tıp Fakültesi Hastanesi, Göğüs Cerrahisi Anabilim Dalı, İstanbul, Türkiye
DOI : 10.5606/tgkdc.dergisi.2013.5159
Pulmonary thromboendarterectomy (PEA) is a single
treatment of choice in selected patients with chronic
thromboembolic pulmonary hypertension (CTEPH).
Pulmonary thromboendarterectomy may be lifesaving
for patients with increased pulmonary vascular
resistance (PVR) and proximal segment disease of the
pulmonary arteries. A 72-year-old male case had a
50-80% occlusion in pulmonary artery branches due to
chronic thromboembolism. Echocardiography revealed
a pulmonary artery pressure (PAP) of 110 mmHg, while
right heart catheterization showed a mean PAP of 43
mmHg and PVR of 850 dyn/s/cm-5. The patient who was
diagnosed with CTPEH underwent PEA. Pulmonary artery
pressure was reduced to 40 mmHg at postoperative day 15.
The patient died on postoperative day 22 due to a sudden
cardiac arrest. Surgery is the most effective treatment
approach for CTPEH cases. All risk factors should be
carefully evaluated to reduce postoperative mortality.
In this article, we present a case of CTEPH patient who
underwent a successful PEA and died following surgery.
Keywords : Chronic thromboembolic pulmonary hypertension; pulmonary hypertension; pulmonary thromboendarterectomy
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