[Surgical treatment of chronic thrombo-embolic pulmonary hypertension with floating thrombi in the right heart ventricle].
A 31 years old male patient was admitted to a resuscitation unit with severe dyspnea (MMRC 4 grade). The patient had the dyspnea for 3 months.The diagnosis of chronic thrombo-embolic pulmonary hypertension with floating thrombi in the right heart ventricle was established. On the sixth day of admission after IVC filter insertion, the patient underwent thromboectomy with pulmonary endarterectomy. For an access to segmentary pulmonary arteries during operation SVC and the aorta had been cross-clamped. The duration of deep hypothermic (20 degrees C) circulatory arrest was 54 minutes. The patient was discharged in satisfactory condition on the 17th day. At the check-up at 3 months the dyspnea was absent and heart hemodynamic parameters had been normalized.
M L
ML
Gordeev
G V
GV
Nikolaev
A V
AV
Naĭmushin
O M
OM
Moiseeva
I V
IV
Sukhova
S V
SV
Isakov
M V
MV
Samokhvalova
A V
AV
Gurshchenkov
D000328:Adult; D006348:Cardiac Surgical Procedures; D002908:Chronic Disease; D004417:Dyspnea / Q000628:therapy; D004691:Endarterectomy; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D006976:Hypertension, Pulmonary / Q000601:surgery*; D008297:Male; D011655:Pulmonary Embolism / Q000601:surgery*; D013927:Thrombosis / Q000601:surgery*