title: An improved technique for pulmonary endarterectomy.
abstract: We report a modified technique for pulmonary endarterectomy (PEA) on a 67-year-old man with chronic thromboembolic pulmonary hypertension (CTEPH) who presented with dyspnea. He was referred to our medical center for coronary artery bypass grafting. CTEPH had not been detected in his first visit to another medical center, but upon re-evaluation, the diagnosis was confirmed. PEA was performed with a modified method, which seems to be safe and suitable for the removal of clot and fibrotic materials. Iatrogenic dissection was performed with normal saline injection in the pulmonary artery, and then, the clot was removed completely. Although the technique may not be applicable for all cases, it can be used as an alternative to using an aspirating dissector and a pair of forceps.
authors.affiliation: Department of Cardiac Surgery, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran ; Cardiovascular Research Center, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran ; Atherosclerosis Prevention Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Azari
authors.affiliation: Cardiovascular Research Center, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran ; Students Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Moravvej
authors.affiliation: Department of Cardiology, Ghuchan Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran.
authors.forename: Sara
authors.initials: S
authors.lastname: Afshar
authors.affiliation: Cardiovascular Research Center, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran ; Atherosclerosis Prevention Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran ; Department of Cardiology, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran.
authors.forename: Leila
authors.initials: L
authors.lastname: Bigdelu
keywords: 1. Endarterectomy; 2. Pulmonary hypertension; 3. Thromboembolism