SUCCESSFUL PULMONARY THROMBOENDARTERECTOMY FOR CHRONIC THROMBOEMBOLIC PULMONARY-HYPERTENSION ASSOCIATED WITH ANTICARDIOLIPIN ANTIBODIES - REPORT OF A CASE

被引:8
作者
NAKAGAWA, Y
MASUDA, M
SHIIHARA, H
TSURUTA, Y
ABE, H
MIURA, M
TANAKA, H
机构
[1] The First Department of Surgery, Chiba University School of Medicine, Chiba, 281, 1-8-1 Inohana, Chiba City
来源
SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1992年 / 22卷 / 06期
关键词
CHRONIC PULMONARY THROMBOEMBOLISM; CORPULMONALE; PULMONARY THROMBOENDARTERECTOMY; DEEP HYPOTHERMIC CIRCULATORY ARREST; ANTICARDIOLIPIN ANTIBODY;
D O I
10.1007/BF00308902
中图分类号
R61 [外科手术学];
学科分类号
摘要
Chronic pulmonary thromboembolism with pulmonary hypertension is a rare but most unique syndrome in the broad spectrum of pulmonary embolism. This report describes a successful pulmonary thromboendarterectomy performed for a totally occluded right pulmonary artery on a 43 year old man who presented with positive cardiolipin antibodies. The surgery was performed through a median sternotomy with cadiopulmonary bypass and intermittent periods of deep hypothermic circulatory arrest. We are convinced that this method allows for complete removal of the thrombotic obstruction and should be the procedure of choice for patients with very proximal obstruction of a pulmonary artery.
引用
收藏
页码:548 / 552
页数:5
相关论文
共 16 条
[1]  
Daily P.O., Dembitsky W.P., Iversen S., Technique of pulmonary thromboendarterectomy for chronic pulmonary embolism, J Cardiac Surg, 4, pp. 10-24, (1989)
[2]  
Chitwood W.R., Sabiston D.C., Wechsler A.S., Surgical treatment of chronic unresolved pulmonary embolism, Clin Chest Med, 5, pp. 507-536, (1984)
[3]  
Moser K.M., Auger W.R., Fedullo P.F., Chronic major-vessel thromboembolic pulmonary hypertension, Circulation, 81, pp. 1735-1743, (1990)
[4]  
Dalen J.E., Alpert J.S., Natural history of pulmonary embolism, Prog Cardiovasc Dis, 17, pp. 259-270, (1975)
[5]  
Riedel M., Stanek V., Widiky J., Prerovsky I., Longterm follow-up of patients with pulmonary thromboembolism. Late prognosis and evolution of hemodynamic and respiratory data, Chest, 2, pp. 151-158, (1982)
[6]  
Wilhelen L., Hagman M., Werk L., Recurrent pulmonary embolism. Incidence, predisposing factors and prognosis, Acta Med Scand, 192, pp. 565-575, (1972)
[7]  
Daily P.O., Dembitzsky W.P., Iversen S., Moser K.M., Auger W., Current early results of pulmonary thromboendarterectomy for chronic pulmonary embolism, Eur J Cadiothorac Surg, 4, pp. 117-123, (1990)
[8]  
Dor V., Jourdan J., Schmitt R., Sabatier M., Arnulf J.J., Kreitmann P., Delayed pulmonary thrombectomy via a peripheral approach in the treatment of pulmonary embolism and sequelae, Thorac Cardiovasc Surgeon, 29, pp. 227-232, (1981)
[9]  
Utley J.R., Pulmonary thromboendarterectomy, Pulmonary embolism and deep venous thrombosis, pp. 275-271, (1985)
[10]  
Nakagawa Y., Masuda M., Shiihara H., Tsuruta Y., Abe Y., Miura M., Okui K., Surgical results of pulmonary thromboendarterectomy for chronic pulmonary thromboembolism, J Jap Assoc Thorac Surg, 39, pp. 60-67, (1991)