ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
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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