Pulmonary thromboendarterectomy for thromboembolic pulmonary hypertension.
Pulmonary artery thromboendarterectomy (PTE) is a surgical procedure that offers the only cure for chronic thromboembolic pulmonary hypertension (TPH), a progressive form of secondary pulmonary hypertension. Current estimates indicate that 1% to 5% of patients who survive a pulmonary embolus will develop chronic TPH with progressively worsening pulmonary hypertension and right-sided heart failure. This bilateral procedure is performed through a sternotomy incision using cardiopulmonary bypass, profound hypothermia, and intermittent circulatory arrest with antegrade cerebral perfusion. As an alternative to lung transplantation, PTE offers patients with chronic TPH an improved quality of life.
Barrow
Susan
S
University Hospital, Birmingham, AL, USA.
Cherry
Cecile
C
Hickey
Carol
C
Kelly
Karen Sue
KS
D002315:Cardiopulmonary Bypass; D002908:Chronic Disease; D018450:Disease Progression; D004691:Endarterectomy / Q000379:methods / Q000451:nursing; D006324:Heart Arrest, Induced; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology* / Q000503:physiopathology; D007036:Hypothermia, Induced; D015994:Incidence; D024802:Nurse's Role; D009871:Operating Room Nursing / Q000458:organization & administration; D010347:Patient Care Planning; D010353:Patient Education as Topic; D018579:Patient Selection; D019990:Perioperative Care / Q000379:methods / Q000451:nursing; D011652:Pulmonary Circulation; D011655:Pulmonary Embolism / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D012307:Risk Factors; D012720:Severity of Illness Index; D017131:Thrombectomy / Q000379:methods / Q000451:nursing; D013923:Thromboembolism / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology