Document Detail

Pulmonary endarterectomy after pulmonary infectious embolisms.
MedLine Citation:
PMID:  23248168     Owner:  NLM     Status:  MEDLINE    
Pulmonary endarterectomy (PEA) is a well-established procedure in the treatment of chronic thromboembolic pulmonary hypertension (CTPH). The procedure is known to increase functional outcome and to raise the 5-year survival rate. We report 2 cases of pulmonary valve endocarditis and secondary embolisms causing sustained pulmonary hypertension. Both were treated with PEA. In none of the cases, a cleavage between the thrombotic masses and the vessel wall was obtainable, and both attempts were therefore inadequate. Based on our reports, we recommend not attempting PEA in cases of CTPH after infectious embolisms.
Johan Heiberg; Lars B Ilkjær
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-12-17
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  16     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-18     Completed Date:  2013-08-30     Revised Date:  2014-04-01    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  556-7     Citation Subset:  IM    
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MeSH Terms
Candidiasis / complications,  diagnosis,  microbiology,  surgery*
Endocarditis / complications,  diagnosis,  microbiology,  surgery*
Heart Valve Prosthesis Implantation*
Hypertension, Pulmonary / diagnosis,  microbiology,  surgery*
Pulmonary Embolism / diagnosis,  microbiology,  surgery*
Pulmonary Valve / microbiology,  surgery*
Treatment Outcome

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