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

Research output: Contribution to journalArticlepeer-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 languageEnglish
Pages (from-to)696-702
Number of pages7
JournalEuropean Journal of Cardio-thoracic Surgery
Volume18
Issue number6
DOIs
Publication statusPublished - 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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