Ipertensione polmonare cronica tromboembolica.

Translated title of the contribution: Chronic thromboembolic pulmonary hypertension

Pietro Zonzin, Carmine Dario Vizza, Giuseppe Favretto

Research output: Contribution to journalArticlepeer-review

Abstract

Chronic thromboembolic pulmonary hypertension is due to unresolved or recurrent pulmonary embolism. In the United States the estimated prevalence is 0.1-0.5% among survived patients with pulmonary embolism. The survival rate at 5 years was 30% among patients with a mean pulmonary artery pressure > 40 mmHg at the time of diagnosis and only 10% among those with a value > 50 mmHg. The interval between the onset of disturbances and the diagnosis may be as long as 3 years. Doppler echocardiography permits to establish the diagnosis of pulmonary hypertension. Radionuclide scanning determines whether pulmonary hypertension has a thromboembolic basis. Right heart catheterization and pulmonary angiography are performed in order to establish the extension and the accessibility to surgery of thrombi and to rule out other causes. The surgical treatment is thromboendarterectomy. A dramatic reduction in the pulmonary vascular resistance can be achieved; corresponding improvements in the NYHA class--from class III or IV before surgery to class I-II after surgery--are usually observed. Patients who are not considered candidates for thromboendarterectomy may be considered candidates for lung transplantation.

Translated title of the contributionChronic thromboembolic pulmonary hypertension
Original languageItalian
Pages (from-to)814-824
Number of pages11
JournalItalian Heart Journal
Volume4
Issue number10 Suppl
Publication statusPublished - Oct 2003

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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