Pulmonary endarterectomy in chronic thromboembolic pulmonary hypertension

Sunar, Hasan

doi:10.5606/tgkdc.dergisi.2013.7625

Cited by 1 publication

(2 citation statements)

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“…Tanıda altın standart pulmoner ventilasyon perfüzyon sintigrafisidir. Ameliyat kararı alınırken toraks bilgisayarlı tomografi ve pulmoner anjiyografiye gereksinim duyulur [7] .…”

Section: Discussionunclassified

“…Özellikle pulmoner endarterektominin yapıldığı dönemde uygulanan TSA sırasında beyin oksijnasyonunun yakından takip edilmesi gerekir. PEA cerrahisinde TSA dönemlerinde uç organ hasarının önlenmesi amacı ile derin hipotermi uygulanmaktadır [7] . Derin hipotermiye rağmen NIRS değerlerinde inisyal serebral oksijen saturasyonun ≥ %30 azaldığında hastalarda postoperatif nörokognitif bozukluk oluşmasını engellemek amacıyla TSA'e son verip perfüzyona geçilmelidir.…”

Section: Discussionunclassified

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Management of Anesthesia and Complications in Pulmonary Endarterectomy Operations

Erkılınç¹,

Baysal²

2021

GKDA Derg

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Objective: Chronic thromboembolic pulmonary hypertension is a chronic progressive disease developing obstruction ocurring in pulmonary vascular bed. Pulmonary endarterectomy is the surgical procedure described in the management of chronic pulmonary hypertension which excises, and removes the obstructing thromboembolic material from the affected vascular structures. Our aim is to share our approaches to the management of anesthesia and complications in pulomanry endarterectomy operations performed in our center. Methods: The data of 200 PEA cases conducted in June 2017-2020 were retrospectively analyzed. The demographic data of the patients, preoperative pulmonary function tests, cardiac catheterization findings, peroperative cardiac output measurement values, aortic cross clamp, extubation, intensive care unit, and hospital stay times and complications were recorded. Results: Average age of the patients’ ages was 50.8 years, and female/male ratio was 108/92. In the thermodilution measurements of the patients after induction, mean values of CO, PVR and mPAP were determined as 4.4 l/min, 594 dyn/s/cm-5, 40 mmHg, respectively. The corresponding measurements made after the sternal closure were stated as 6 l/min, 241 dyn/s/cm-5 and 28 mmHg, respectively. The patients were hospitalized in the intensive care unit for 4 days. In our patient group residual pulmonary hypertension occurred in 21%, reperfusion pulmonary edema in 10% and pulmonary bleeding in 4% of the cases. Conclusion: Only a very few centers in the world are experienced in PEA surgery. Anesthesia management and treatment of the complications of PEA surgery are quite difficult. Therefore, PEA surgery shl be performed in experienced centers.

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“…Tanıda altın standart pulmoner ventilasyon perfüzyon sintigrafisidir. Ameliyat kararı alınırken toraks bilgisayarlı tomografi ve pulmoner anjiyografiye gereksinim duyulur [7] .…”

Section: Discussionunclassified

Management of Anesthesia and Complications in Pulmonary Endarterectomy Operations

Erkılınç¹,

Baysal²

2021

GKDA Derg

View full text Add to dashboard Cite

show abstract

Pulmonary endarterectomy in chronic thromboembolic pulmonary hypertension

Cited by 1 publication

References 20 publications

Management of Anesthesia and Complications in Pulmonary Endarterectomy Operations

Management of Anesthesia and Complications in Pulmonary Endarterectomy Operations

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