[Pulmonary thromboendarterectomy in the management of chronic pulmonary thromboembolic hypertension].
OBJECTIVE
The efficacy of surgical treatment (pulmonary thromboendarterectomy, PTE) in the management of chronic pulmonary thromboembolic hypertension (CTE-PH) was reviewed.


METHODS
A retrospective study of 8 patients receiving consecutive PTE in Fuwai cardiovascular hospital was made, with special regard to the operation methods, perioperative management and follow-up.


RESULTS
All survived the operation. As compared with preoperative values, all patients presented with significant improvement of systolic pulmonary artery pressure [(39 +/- 15) mmHg versus (101 +/- 24) mm Hg], arterial oxygen tension [(92 +/- 7) mmHg versus (59 +/- 11) mm Hg] and arterial oxygen saturation (0.98 +/- 0.01 versus 0.89 +/- 0.06). Mid-term follow-up showed that the cardiac function of the patients fell into NYHA class I (n = 3) or II (n = 5), with significant improvement in quality of life.


CONCLUSIONS
PTE is effective treatment in the management of CTE-PH.
Wu
Q
Q
Department of Surgery, Fuwai Cardiovascular Hospital, PUMC and CAMS, Beijing 100037, China.
Wu
Y
Y
Wang
D
D
D000328:Adult; D002908:Chronic Disease; D004691:Endarterectomy; D005500:Follow-Up Studies; D006439:Hemodynamics; D006801:Humans; D006976:Hypertension, Pulmonary / Q000503:physiopathology / Q000601:surgery*; D008168:Lung / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome