title: Two cases of chronic pulmonary thromboembolism saved by postoperative use of a percutaneous cardiopulmonary support device.
abstract: We performed pulmonary thromboendarterectomy under deep hypothermic intermittent circulatory arrest in 18 patients with chronic pulmonary thromboembolism from August 2001 to January 2004. In some of these cases, reperfusion pulmonary edema prevented a satisfactory improvement in hemodynamic data soon after the surgery. Here we report two cases of chronic pulmonary thromboembolism in which we successfully prevented postoperative persistent pulmonary hypertension and hypoxia caused by severe reperfusion pulmonary edema by the use of a percutaneous cardiopulmonary support device.
authors.affiliation: Department of Cardiovascular Surgery, Fujita Health University, Toyoake, Aichi, Japan. mssato@fujita-hu.ac.jp
authors.forename: Masato
authors.initials: M
authors.lastname: Sato
authors.forename: Motomi
authors.initials: M
authors.lastname: Ando
authors.forename: Akihito
authors.initials: A
authors.lastname: Muto
authors.forename: Yuka
authors.initials: Y
authors.lastname: Kondo
authors.forename: Ryo
authors.initials: R
authors.lastname: Hoshino
authors.forename: Toshiya
authors.initials: T
authors.lastname: Nishibe
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Yamashita
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D020152:Antithrombin III Deficiency / Q000150:complications; D006332:Cardiomegaly / Q000150:complications; D002395:Catecholamines / Q000627:therapeutic use; D002908:Chronic Disease; D050792:Circulatory Arrest, Deep Hypothermia Induced; D004691:Endarterectomy / Q000379:methods*; D011464:Epoprostenol / Q000627:therapeutic use; D004867:Equipment Design; D005112:Extracorporeal Circulation; D005260:Female; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D006976:Hypertension, Pulmonary / Q000517:prevention & control; D000860:Hypoxia / Q000517:prevention & control; D008297:Male; D010107:Oxygenators, Membrane; D011183:Postoperative Complications / Q000517:prevention & control; D020151:Protein C Deficiency / Q000150:complications; D011654:Pulmonary Edema / Q000517:prevention & control; D011655:Pulmonary Embolism / Q000209:etiology / Q000601:surgery*; D015427:Reperfusion Injury / Q000517:prevention & control; D019851:Thrombophilia / Q000235:genetics; D013924:Thrombophlebitis / Q000209:etiology / Q000628:therapy; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000601:surgery; D016306:Vena Cava Filters
chemical_list: D000925:Anticoagulants; D002395:Catecholamines; D006493:Heparin; D011464:Epoprostenol