Surgical therapies for pulmonary arterial hypertension.

作者信息

Sager Jeffrey S, Ahya Vivek N

机构信息

Lung Transplantation Program, Pulmonary, Allergy and Critical Care Division, University of Pennsylvania Medical Center, 828 West Gates Building, 3600 Spruce Street, Philadelphia, PA 19104, USA.

出版信息

Clin Chest Med. 2007 Mar;28(1):187-202, ix. doi: 10.1016/j.ccm.2006.11.003.

DOI:10.1016/j.ccm.2006.11.003

PMID:17338935

Abstract

Surgical therapies for the treatment of pulmonary arterial hypertension typically are reserved for patients who are deemed to be refractory to medical therapy and have evidence of progressive right-sided heart failure. Atrial septostomy, a primarily palliative procedure, may stave off hemodynamic collapse from right-sided heart failure long enough to permit a more definitive surgical treatment such as lung or combined heart-lung transplantation. This article discusses indications for and results of atrial septostomy and lung and heart-lung transplantation in patients who have pulmonary arterial hypertension.

摘要