Division of Cardiothoracic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Division of Pulmonary, Allergy, and Critical Care Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
J Heart Lung Transplant. 2021 Nov;40(11):1267-1278. doi: 10.1016/j.healun.2021.07.016. Epub 2021 Jul 29.
Patients with connective tissue disease (CTD) present unique surgical, perioperative, operative, and postoperative challenges related to the often underlying severe pulmonary hypertension and right ventricular dysfunction. The International Society for Heart and Lung Transplantation-supported consensus document on lung transplantation in patients with CTD standardization addresses the surgical challenges and relevant cardiac involvement in the perioperative, operative, and postoperative management in patients with CTD.
结缔组织病(CTD)患者存在独特的手术、围手术期、手术和术后挑战,这与常常潜在的严重肺动脉高压和右心室功能障碍有关。国际心肺移植学会支持的 CTD 患者肺移植共识文件标准化了 CTD 患者围手术期、手术和术后管理中涉及的手术挑战和相关心脏受累问题。