Pulmonary endarterectomy

Current Opinion in Anaesthesiology
Andrew Roscoe, Andrew Klein

Abstract

Pulmonary endarterectomy is the treatment of choice for many patients with chronic thromboembolic pulmonary hypertension. Although potentially curative, some patients receive no benefit and have poor outcomes. This review will look at the new research in the pathophysiology of the disease and developments in perioperative care, which may help to understand the difference in outcomes. Chronic thromboembolic pulmonary hypertension is an under-recognized condition, affecting more patients than previously thought. Molecular research focused on the mechanisms of pulmonary hypertension may help to explain differing patient outcomes after surgery. Pulmonary endarterectomy is a successful treatment of chronic thromboembolic pulmonary hypertension. Better understanding of the underlying pathophysiology will help in patient selection for surgical intervention.

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Citations

Jul 10, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Pavel MarunaJaroslav Lindner
Sep 11, 2008·The Heart Surgery Forum·Jan KunstyrMartin Stritesky
Mar 8, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Marc Giménez-MilàKamen Valchanov
Apr 14, 2010·Current Opinion in Anaesthesiology·Chad D Pritts, Ronald G Pearl

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