Takahashi M, Tanaka N, Sawa S, Mukai K, Ishikawa T
Department of Thoracic and Cardiovascular surgery, Yokohama Sakae Kyosai Hospital, Japan.
J Cardiovasc Surg (Torino). 1995 Apr;36(2):195-8.
Three patients with chronic pulmonary embolism underwent successfully unilateral pulmonary arterial thromboembolectomy. In these cases, severe degree of right heart failure and respiratory distress were the primary indications to the operation. Under normothermic partial cardiopulmonary bypass, right unilateral pulmonary thromboembolectomy were performed with beating heart. Distal counter-incision was found to be facilitated to remove thrombi completely from the distal pulmonary artery. In the results of long-term study, postoperative cardiac catheterization data encouraged us to use this technique in the surgical treatment for the selective cases of this disease. All three patients have been doing well without any sign of recurrence up to 17 years of the surgery.
三名慢性肺栓塞患者成功接受了单侧肺动脉血栓切除术。在这些病例中，严重的右心衰竭和呼吸窘迫是手术的主要指征。在常温部分体外循环下，在心脏跳动的情况下进行了右侧单侧肺动脉血栓切除术。发现远端反向切口有助于从远端肺动脉完全清除血栓。长期研究结果表明，术后心导管检查数据鼓励我们在这种疾病的选择性病例的外科治疗中使用该技术。三名患者术后均恢复良好，至手术17年时均无复发迹象。
