Pulmonary Endarterectomy: Part II. Operation, Anesthetic Management, and Postoperative Care

被引：29

作者：

Banks, Dalia A. ^{[1
]}

Pretorius, Gert Victor D. ^{[1
]}

Kerr, Kim M. ^{[1
]}

Manecke, Gerard R. ^{[1
]}

机构：

[1] Univ Calif San Diego, 9300 Campus Point Dr, 7651, La Jolla, CA 92037 USA

来源：

SEMINARS IN CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2014年 / 18卷 / 04期

关键词：

pulmonary endarterectomy; pulmonary thromboendarterectomy; sickle cell disease; heparin-induced thrombocytopenia (HIT); transesophageal echocardiography in CTEPH; deep hypothermic circulatory arrest; pulmonary hemorrhage in PEA; reperfusion lung injury;

D O I：

10.1177/1089253214537688

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Chronic thromboembolic pulmonary hypertension (CTEPH) results from recurrent or incomplete resolution of pulmonary embolism. CTEPH is much more common than generally appreciated. Although pulmonary embolism (PE) affects a large number of Americans, chronic pulmonary thromboembolic hypertension remains underdiagnosed. It is imperative that all patients with pulmonary hypertension (PH) be screened for the presence of CTEPH since this form of PH is potentially curable with pulmonary endarterectomy (PEA) surgery. The success of this procedure depends greatly on the collaboration of a multidisciplinary team approach that includes pulmonary medicine, cardiothoracic surgery, and cardiac anesthesiology. This review, based on the experience of more than 3000 pulmonary endarterectomy surgeries, is divided into 2 parts. Part I focuses on the clinical history and pathophysiology, diagnostic workup, and intraoperative echocardiography. Part II focuses on the surgical approach, anesthetic management, postoperative care, and complications.

引用

页码：331 / 340

页数：10

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