[Indications and techniques of surgical intervention in chronic postembolic pulmonary hypertension].
The paper gives indications for surgical management and describes a surgical technique on the basis of the author's experience with 36 reconstructive interventions on pulmonary arteries in persistent post-embolic occlusion. The absolute indication for elimination of occlusion is central pulmonary arterial lesion which exists no more than 3 years and which is accompanied by elevated systolic pulmonary pressure (ranging from 51 to 100 mm Hg) and relatively preserved right ventricular myocardial function. The optimal surgical method is thrombin-thymectomy performed in deep hypothermia using intermittent extracorporeal perfusion.
Savel'ev
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D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000150:complications*; D013514:Surgical Procedures, Operative / Q000379:methods
Pokazaniia k operatsii i tekhnika khirurgicheskogo vmeshatel'stva pri khronicheskoĭ postémbolichesikoĭ legochnoĭ gipertenzii.