Kawashima Takayuki, Yoshitake Akihiro, Kawakami Takashi, Shimizu Hideyuki
Department of Cardiovascular Surgery, Keio University Hospital, Tokyo, Japan.
Department of Cardiovascular Surgery, Keio University Hospital, Tokyo, Japan.
Ann Vasc Surg. 2018 May;49:315.e5-315.e7. doi: 10.1016/j.avsg.2017.11.057. Epub 2018 Feb 23.
We performed a 2-stage procedure combining balloon pulmonary angioplasty and pulmonary endarterectomy for a high-risk chronic thromboembolic pulmonary hypertension patient with high pulmonary vascular resistance. First, balloon pulmonary angioplasty was performed for distal lesions to improve hemodynamics and decrease the surgical risk. Subsequently, pulmonary endarterectomy was performed for proximal lesions, and the hemodynamics and symptoms improved dramatically. Our strategy was therefore found to be useful for treating a high-risk chronic thromboembolic pulmonary hypertension patient.
我们对一名具有高肺血管阻力的高危慢性血栓栓塞性肺动脉高压患者实施了两阶段手术，该手术结合了球囊肺动脉血管成形术和肺动脉内膜剥脱术。首先，对远端病变进行球囊肺动脉血管成形术以改善血流动力学并降低手术风险。随后，对近端病变进行肺动脉内膜剥脱术，血流动力学和症状显著改善。因此，我们的策略被发现对治疗高危慢性血栓栓塞性肺动脉高压患者有用。
