慢性血栓栓塞性肺动脉高压复发后重复进行肺动脉血栓内膜剥脱术。

Repeat pulmonary thromboendarterectomy after recurrence of chronic thromboembolic pulmonary hypertension.

作者信息

Gomes Walter José, Imaeda Carlos Jogi, Perfeito João Alessio, Sarmento Petrúcio Abrantes, Souza Rodrigo Caetano, Forte Vicente

机构信息

Department of Respiratory Medicine and Thoracic Surgery of the Portuguese Beneficent Hospital of São Paulo, São Paulo, Brazil.

出版信息

J Bras Pneumol. 2009 Jan;35(1):91-4. doi: 10.1590/s1806-37132009000100013.

DOI:10.1590/s1806-37132009000100013

PMID:19219336

Abstract

Pulmonary thromboendarterectomy has been established as the standard method for the treatment of chronic thromboembolic pulmonary hypertension, with excellent results. However, repeat pulmonary thromboendarterectomy due to recurrence of pulmonary embolism has never been reported in the Brazilian literature. Its safety and effectiveness remain obscure. We report the case of a patient presenting recurrence of chronic thromboembolic pulmonary hypertension five years after the first pulmonary thromboendarterectomy and requiring a second operation for resolution of the symptoms.

摘要

肺动脉血栓内膜剥脱术已被确立为治疗慢性血栓栓塞性肺动脉高压的标准方法，效果良好。然而，巴西文献中从未报道过因肺栓塞复发而进行再次肺动脉血栓内膜剥脱术的情况。其安全性和有效性仍不明确。我们报告了一例患者，在首次肺动脉血栓内膜剥脱术后五年出现慢性血栓栓塞性肺动脉高压复发，需要进行第二次手术以缓解症状。