Pulmonary thromboendarterectomy in patients with chronic thromboembolic pulmonary hypertension: Hemodynamic characteristics and changes

Andrea M. D'Armini; Barbara Cattadori; Cristian Monterosso; Catherine Klersy; Vincenzo Emmi; Franco Piovella; Gaetano Minzioni; Mario Viganò

doi:10.1016/S1010-7940(00)00584-4

Pulmonary thromboendarterectomy in patients with chronic thromboembolic pulmonary hypertension: Hemodynamic characteristics and changes

Andrea M. D'Armini, Barbara Cattadori, Cristian Monterosso, Catherine Klersy, Vincenzo Emmi, Franco Piovella, Gaetano Minzioni, Mario Viganò

IRCCS Fondazione Policlinico San Matteo

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: To see whether degree of pulmonary hypertension or severity of cardiac failure affect the success of pulmonary thromboendarterectomy (PTE) in chronic thromboembolic pulmonary hypertension. Methods: From May 1996 to June 1999, 33 patients, all in New York Heart Association (NYHA) class 3 or 4 were treated with PTE. Preoperative hemodynamic values were: central venous pressure (CVP) 8 ± 6 (1-23), mean pulmonary artery pressure (mPAP) 50 ± 10 (30-69), cardiac output (CO) 3.3 ± 0.9 (1.8-5.2), pulmonary vascular resistance (PVR) 1056 ± 344 (523-1659), and right ventricle ejection fraction (RVEF) 12 ± 5 (5-21). To establish whether some hemodynamic or cardiac variables correlate with surgical failure (early death or functional non-success), these patients were divided into a low risk or a high risk group for each variable: CVP (

Original language	English
Pages (from-to)	696-702
Number of pages	7
Journal	European Journal of Cardio-thoracic Surgery
Volume	18
Issue number	6
DOIs	https://doi.org/10.1016/S1010-7940(00)00584-4
Publication status	Published - 2000

Keywords

Cardiac failure
Chronic thromboembolic pulmonary hypertension
Lung transplantation
Pulmonary hemodynamic values
Pulmonary thromboendarterectomy

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Surgery

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Pulmonary thromboendarterectomy in patients with chronic thromboembolic pulmonary hypertension : Hemodynamic characteristics and changes. / D'Armini, Andrea M.; Cattadori, Barbara; Monterosso, Cristian; Klersy, Catherine; Emmi, Vincenzo; Piovella, Franco; Minzioni, Gaetano; Viganò, Mario.

In: European Journal of Cardio-thoracic Surgery, Vol. 18, No. 6, 2000, p. 696-702.

Research output: Contribution to journal › Article › peer-review

D'Armini, Andrea M. ; Cattadori, Barbara ; Monterosso, Cristian ; Klersy, Catherine ; Emmi, Vincenzo ; Piovella, Franco ; Minzioni, Gaetano ; Viganò, Mario. / Pulmonary thromboendarterectomy in patients with chronic thromboembolic pulmonary hypertension : Hemodynamic characteristics and changes. In: European Journal of Cardio-thoracic Surgery. 2000 ; Vol. 18, No. 6. pp. 696-702.

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abstract = "Objective: To see whether degree of pulmonary hypertension or severity of cardiac failure affect the success of pulmonary thromboendarterectomy (PTE) in chronic thromboembolic pulmonary hypertension. Methods: From May 1996 to June 1999, 33 patients, all in New York Heart Association (NYHA) class 3 or 4 were treated with PTE. Preoperative hemodynamic values were: central venous pressure (CVP) 8 ± 6 (1-23), mean pulmonary artery pressure (mPAP) 50 ± 10 (30-69), cardiac output (CO) 3.3 ± 0.9 (1.8-5.2), pulmonary vascular resistance (PVR) 1056 ± 344 (523-1659), and right ventricle ejection fraction (RVEF) 12 ± 5 (5-21). To establish whether some hemodynamic or cardiac variables correlate with surgical failure (early death or functional non-success), these patients were divided into a low risk or a high risk group for each variable: CVP (",

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