Abstracts

Sessions Posters VOORDRACHTEN NVT

10.00 - 10.15 uur

PULMONARY ENDARTERECTOMY: A SINGLE INSTITUTION'S EXPERIENCE IN 46 CASES. A Yilmaz. RH Heijmen, R Snijder, WJ Morshuis, HWM Plokker. St Antonius Hospital, Nleuwegein

Introduction:

Chronic thromboembolic pulmonary hypertension, with gradually right ventricular failure, is a relatively rare but a progressive disease with eventually a fatal outcome. Pulmonary endarterectomy (PE) may offer an improved functional status and longer life expectancy for the majority of patients. Methods: A retrospective analysis was performed of all patients who underwent PE at our institution, using extracorporeal circulation (ECC) under deep hypothermia with intermittent circulatory arrest.

Results: Since December 1999, 46 patients underwent PE at our institution. Demographic data and operative results are depicted in the Table. The median interval between pulmonary embolism and surgical intervention was 31 months. In all patients PE was successfully performed. Overall, endarterectomy required 3 episodes of 20-minute circulatory arrest (59 * 23 minutes). In 8 patients (17%) an interatrial communication was fuund and subsequently dosed. Hospital mortality was 11% (5/46). No neurological events were noted postoperatively and the mean pulmonary artery pressure was reduced signiflcantly (p

Abstracts of the Netherlands Society of Thoracic Surgery (NvT): 21-22 April 2005, Hotel Okura, Amsterdam.

Abstracts of the Netherlands Society of Thoracic Surgery (NvT): 21-22 April 2005, Hotel Okura, Amsterdam. - PDF Download Free
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