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[Surgery in chronic pulmonary embolism].

S T Baksaas1, O R Geiran, S Iversen

  • 1Thoraxkirurgisk avdeling Hjerte- og lungeklinikken Rikshospitalet 0027 Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|March 21, 2001
PubMed
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Pulmonary thromboendarterectomy significantly improved exercise capacity in most patients with chronic thromboembolism. This surgical treatment is a viable option for severe pulmonary hypertension and dyspnea.

Area of Science:

  • Cardiovascular Surgery
  • Pulmonary Hypertension
  • Thromboembolic Disease

Context:

  • Chronic thromboembolism leads to pulmonary hypertension and dyspnea.
  • Medical management offers limited benefit for chronic pulmonary thromboembolism.
  • Surgical thromboendarterectomy is an effective treatment for severe cases.

Purpose:

  • To evaluate the efficacy of pulmonary thromboendarterectomy in patients with chronic pulmonary thromboembolism.
  • To assess the impact of surgery on patient's haemodynamics and working capacity.

Summary:

  • Seven patients underwent pulmonary thromboendarterectomy between 1995-1999.
  • Five patients showed significant improvement in working capacity post-surgery.
  • One patient had limited symptomatic benefit, and one patient died perioperatively.

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Impact:

  • Pulmonary thromboendarterectomy can significantly improve quality of life for selected patients.
  • The procedure offers a potential solution for severe dyspnea caused by chronic thromboembolic pulmonary hypertension.
  • Highlights the importance of surgical intervention in managing this complex condition.