慢性血栓栓塞性肺动脉高压的外科治疗。
Surgical Management of Chronic Thromboembolic Pulmonary Hypertension.
机构信息
Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University Medical Center, DUMC Box 3483, 8665A HAFS, Durham, NC 27710, USA.
Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University Medical Center, DUMC Box 3483, 8665A HAFS, Durham, NC 27710, USA.
出版信息
Cardiol Clin. 2022 Feb;40(1):89-101. doi: 10.1016/j.ccl.2021.08.008.
Abstract
Chronic thromboembolic pulmonary hypertension is a progressive disease, which may lead to severe right ventricular dysfunction and debilitating symptoms. Pulmonary thromboendarterectomy (PTE) provides the best opportunity for complete resolution of obstructing thromboembolic disease and functional improvement in appropriately selected patients. In this article, the authors review preoperative workup, patient selection, operative technique, postoperative care, and outcomes after PTE.
摘要
慢性血栓栓塞性肺动脉高压是一种进行性疾病，可能导致严重的右心功能障碍和使人虚弱的症状。肺动脉血栓内膜切除术（PTE）为适当选择的患者提供了完全解决阻塞性血栓栓塞性疾病和改善功能的最佳机会。本文作者回顾了 PTE 的术前检查、患者选择、手术技术、术后护理和结果。
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