Document Detail


Surgical correction of chronic postembolic obstructions of the pulmonary arteries.
MedLine Citation:
PMID:  703366     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Following episodes of pulmonary embolism, the presence of thrombi in the pulmonary arteries leads to severe respiratory insufficiency and chronic right heart failure. We have operated upon 16 such patients, nine men and seven women from 23 to 68 years of age. All had severe dyspnea, 14 had chronic cor pulmonale, six had mental disturbances with syncope, and four had severe cardiac failure. The presence of clots was demonstrated by pulmonary angiography, and the permeability of the distal arterial bed was ascertained by selective injection of the bronchial arteries. In all cases but two a lateral thoracotomy was used so that the obstructed arterial branches could be approached distally. The inferior vena cava was always ligated to prevent recurrences. There were six operative deaths, three from cardiac failure, one from acute pulmonary edema, one from hemothorax, and one following a pyothorax. Ten patients are surviving after 6 months to 10 years. One is still limited because of significant pleuropulmonary sequelae. Six are enjoying good results with marked improvement in their functional limitations, a significant drop in the pulmonary artery pressure, and radiological permeability of previously obstructed arteries. Three are excellent condition--completely asymptomatic.
Authors:
C Cabrol; A Cabrol; J Acar; I Gandjbakhch; G Guiraudon; L Laughlin; M F Mattei; P Godeau; P Grondin
Related Documents :
20103366 - Radical resection of the superior vena cava using the contegra bovine jugular vein cond...
11804306 - Screw-in atrial lead in a sick sinus syndrome patient with anomalous inferior vena cava.
19670176 - Persistent left superior vena cava: what the interventional nephrologist needs to know.
17191236 - Spontaneous migration of an inferior vena cava filter resulting in cardiac tamponade an...
628746 - The ultrasonic and computed tomographic appearance of splenic lobulations: a considerat...
3940796 - Spontaneous pneumothorax and mitral valve prolapse.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  76     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1978 Nov 
Date Detail:
Created Date:  1978-12-20     Completed Date:  1978-12-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  620-8     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Follow-Up Studies
Heart Failure / etiology
Humans
Male
Methods
Middle Aged
Postoperative Complications / mortality
Pulmonary Embolism / complications,  radiography,  surgery*
Thrombosis / radiography,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Effect of cross-clamp time, temperature, and cardioplegic agents on myocardial function after induce...
Next Document:  Conservative management of uremic pericardial effusions.