Seong Gil Myeong, Hong Sang-Bum, Huh Jin Won, Lim Chae-Man, Koh Younsuck, Lee Jae Won, Jung Sung-Ho, Park Duck-Woo, Lee Jae Seung
Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Acute Crit Care. 2019 May;34(2):158-164. doi: 10.4266/acc.2016.01032. Epub 2018 Nov 7.
Chronic thromboembolic pulmonary hypertension is potentially curable with a pulmonary endarterectomy. However, approximately 20% of patients have persistent pulmonary hypertension after pulmonary endarterectomy, which is a major risk factor for postoperative death. Here, we report a 34-year-old woman who suffered persistent severe pulmonary hypertension following a successful pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension. Extracorporeal membrane oxygenation (ECMO) and atrial septostomy were successfully performed as rescue treatments, and active rehabilitation during ECMO was prescribed to facilitate recovery.
慢性血栓栓塞性肺动脉高压通过肺动脉内膜剥脱术有潜在治愈的可能。然而，约20%的患者在肺动脉内膜剥脱术后仍存在持续性肺动脉高压，这是术后死亡的主要危险因素。在此，我们报告一名34岁女性，她在成功接受慢性血栓栓塞性肺动脉高压的肺动脉内膜剥脱术后仍患有持续性严重肺动脉高压。体外膜肺氧合（ECMO）和房间隔造口术作为挽救治疗成功实施，并在ECMO期间进行积极康复治疗以促进恢复。
