Chest ACCP Member Benefits
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Moser, K. M.
Right arrow Articles by Braunwald, N. S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Moser, K. M.
Right arrow Articles by Braunwald, N. S.
(Chest. 1973;64:29-35.)
© 1973 American College of Chest Physicians

Successful Surgical Intervention in Severe Chronic Thromboembolic Pulmonary Hypertension

Kenneth M. Moser M.D., F.C.C.P.1 and Nina S. Braunwald M.D.2

1 Director, Pulmonary Division, Department of Medicine, University of California, San Diego School of Medicine
2 Associate Professor of Surgery, Department of Surgery, University of California, San Diego School of Medicine

A 69-year-old man, in whom extensive embolic obstruction of the pulmonary arteries had likely been present for ten years, and who exhibited marked pulmonary hypertension and compromise of right ventricular function, was submitted to thromboendarterectomy. The course after surgery included extensive hemorrhagic infiltration of the reperfused lung zones (predicted before operation), which required special management. Four months after surgery, reduction in pulmonary vascular resistance of almost 50 percent was demonstrated. The patient is improved and maintains normal activity more than two years after surgery. The patient demonstrates that, despite several negative features before operation, successful thromboendarterectomy is possible, if recent technical and conceptual advances are applied in a coordinated manner during all phases of management.

Submitted on January 15, 1973
Accepted on January 29, 1973




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
H. Matsuda, H. Ogino, K. Minatoya, H. Sasaki, N. Nakanishi, S. Kyotani, J. Kobayashi, T. Yagihara, and S. Kitamura
Long-term recovery of exercise ability after pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension.
Ann. Thorac. Surg., October 1, 2006; 82(4): 1338 - 1343.
[Abstract] [Full Text] [PDF]

Home page
 Proc Am Thorac SocHome page
N. Galie and N. H. S. Kim
Pulmonary Microvascular Disease in Chronic Thromboembolic Pulmonary Hypertension
Proceedings of the ATS, September 1, 2006; 3(7): 571 - 576.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
J. H. Newman
Pulmonary Hypertension
Am. J. Respir. Crit. Care Med., November 1, 2005; 172(9): 1072 - 1077.
[Abstract] [Full Text] [PDF]

Home page
 SEMIN CARDIOTHORAC VASC ANESTHHome page
G. R. Manecke Jr, W. C. Wilson, W. R. Auger, and S. W. Jamieson
Chronic Thromboembolic Pulmonary Hypertension and Pulmonary Thromboendarterectomy
Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2005; 9(3): 189 - 204.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. W. Jamieson, D. P. Kapelanski, N. Sakakibara, G. R. Manecke, P. A. Thistlethwaite, K. M. Kerr, R. N. Channick, P. F. Fedullo, and W. R. Auger
Pulmonary endarterectomy: experience and lessons learned in 1,500 cases
Ann. Thorac. Surg., November 1, 2003; 76(5): 1457 - 1464.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
P. Mares, T. B. Gilbert, E. M. Tschernko, M. Hiesmayr, M. Muhm, A. Herneth, S. Taghavi, W. Klepetko, I. Lang, and W. Haider
Pulmonary Artery Thromboendarterectomy: A Comparison of Two Different Postoperative Treatment Strategies
Anesth. Analg., February 1, 2000; 90(2): 267 - 267.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. Mo, D. P. Kapelanski, S. N. Mitruka, W. R. Auger, P. F. Fedullo, R. N. Channick, K. Kerr, C. Archibald, and S. W. Jamieson
Reoperative pulmonary thromboendarterectomy
Ann. Thorac. Surg., November 1, 1999; 68(5): 1770 - 1776.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
K. L. Peterson
Acute Pulmonary Thromboembolism : Has Its Evolution Been Redefined?
Circulation, March 16, 1999; 99(10): 1280 - 1283.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1973 by the American College of Chest Physicians.