Lang S J, Mulder D G
Ann Thorac Surg. 1986 May;41(5):557-9. doi: 10.1016/s0003-4975(10)63041-x.
Endarterectomy of a totally occluded right pulmonary artery by median sternotomy with cardiopulmonary bypass and intermittent circulatory arrest is described. The nature of the thrombus encountered and brisk backbleeding from the endarterectomized vessels predicted the functional improvement seen in the patient postoperatively. Reperfusion edema, which often complicates pulmonary artery thromboendarterectomy, was not observed. Preoperative assessment, postoperative management, and technical aspects of the operative procedure used in treating patients with thromboembolic obstruction of the pulmonary arteries are discussed.
描述了通过正中胸骨切开术、体外循环和间歇性循环阻断对完全闭塞的右肺动脉进行动脉内膜切除术的过程。所遇到血栓的性质以及动脉内膜切除术后血管的活跃回血预示了患者术后的功能改善。未观察到常使肺动脉血栓内膜切除术复杂化的再灌注水肿。讨论了用于治疗肺动脉血栓栓塞性梗阻患者的术前评估、术后管理及手术操作的技术要点。
