Open AccessPULMONARY ENDARTERECTOMY FOR CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSION
Author(s) -
Tahir Iqbal,
Azam Jan,
Naseer Ahmed,
Amir Muhammad,
Sayed Mumtaz Anwar Shah,
Sajid Khan,
Imran Tahir,
Husain Shah,
Nabil Iftikhar,
Jamil ur Rehman
Publication year - 2021
Publication title -
pakistan heart journal
Language(s) - English
Resource type - Journals
eISSN - 2227-9199
pISSN - 0048-2706
DOI - 10.47144/phj.v54i2.2086
Subject(s) - medicine , pulmonary hypertension , pulmonary embolism , endarterectomy , chronic thromboembolic pulmonary hypertension , cardiopulmonary bypass , pulmonary thromboendarterectomy , pulmonary artery , complication , hemodynamics , cardiology , surgery , stenosis
Chronic thromboembolic pulmonary hypertension (CTEPH) is a serious complication of unresolved pulmonary embolism. CTEPH is a potentially curable disease and the treatment of choice is pulmonary endarterectomy (PEA) with complete clearance of pulmonary arteries being the principle of surgery. The surgery is performed under circulatory arrest during cardiopulmonary bypass circulation.
We report 3 cases of CTEPH in 2018-2019 at department of cardiothoracic surgery, Rehman Medical Institute, Peshawar. They were detected by echocardiography (TTE) and confirmed by CTPA. Pulmonary endarterectomy was performed with good peri-operative outcome and significant improvement of hemodynamics.