Pulmonary Endarterectomy

Madani, Michael M.; Jamieson, Stuart W.

doi:10.1007/978-0-387-87429-6_114

Textbook of Pulmonary Vascular Disease 2010

DOI: 10.1007/978-0-387-87429-6_114

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Pulmonary Endarterectomy

Michael M. Madani¹,

Stuart W. Jamieson²

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2017

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Cited by 1 publication

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Long-term outcomes of surgery for chronic thromboembolic pulmonary hypertension compared with medical therapy at a single Korean center

Kim

Lee

Ahn

et al. 2017

Korean J Intern Med

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Background/AimsPulmonary endarterectomy (PEA) is the gold standard for treating chronic thromboembolic pulmonary hypertension (CTEPH) in Western countries. The aim of this study was to investigate the long-term outcomes of performing PEA on CTEPH patients in comparison with medical therapy at a single Korean center.MethodsThis retrospective study included 88 CTEPH patients. These patients were classified into the PEA group (n = 37) or non-PEA group (i.e., medical therapy; n = 51). The clinical characteristics, hemodynamic data, and long-term survival rates were compared. Independent prognostic factors for CTEPH were also investigated.ResultsCTEPH was not associated with either gender, and the mean age at diagnosis was 53.3 ± 13.7 years. Echocardiography revealed that the mean peak velocity of the tricuspid regurgitation jet was 4.2 ± 0.7 m/sec and the mean pulmonary arterial pressure was 51.7 ± 15.1 mmHg. The PEA and non-PEA groups demonstrated no significant differences, except in terms of the right ventricular end-diastolic diameter. The survival rates of the PEA group were significantly higher than the non-PEA group at 1, 3, 5, and 10 years (p = 0.032). Multivariate analyses indicated that World Health Organization class IV and PEA were significant predictors of poorer and better outcomes, respectively.ConclusionsPEA demonstrates more favorable effects on long-term survival than medical therapy in Korean CTEPH patients who were considered operable.

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Long-term outcomes of surgery for chronic thromboembolic pulmonary hypertension compared with medical therapy at a single Korean center

Kim

Lee

Ahn

et al. 2017

Korean J Intern Med

View full text Add to dashboard Cite

show abstract

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Pulmonary Endarterectomy

Cited by 1 publication

References 63 publications

Long-term outcomes of surgery for chronic thromboembolic pulmonary hypertension compared with medical therapy at a single Korean center

Long-term outcomes of surgery for chronic thromboembolic pulmonary hypertension compared with medical therapy at a single Korean center

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