Inhaled iloprost to control residual pulmonary hypertension following pulmonary endarterectomy
Author(s) -
Thorsten Kramm,
Balthasar Eberle,
Stefan Guth,
Eckhard Mayer
Publication year - 2005
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2005.09.007
Subject(s) - iloprost , medicine , pulmonary hypertension , cardiology , chronic thromboembolic pulmonary hypertension , anesthesia , prostacyclin
Pulmonary endarterectomy (PEA) is the standard therapy for patients with chronic thromboembolic pulmonary hypertension (CTEPH). In the immediate postoperative period, persistent pulmonary hypertension increases the risk of acute respiratory or right heart failure. In pulmonary arterial hypertension, prostanoid inhalation has been found to improve pulmonary hemodynamics, right ventricular function, gas exchange, and clinical outcome. We report the results of a double-blinded randomized trial with the aerosolized prostacyclin analogue iloprost in patients with residual pulmonary hypertension after PEA.
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