UNRESOLVED PULMONARY-EMBOLISM - THE VALUE OF SURGICAL-MANAGEMENT WITH EXTENSIVE THROMBOENDARTERECTOMY

被引:1
|
作者
BOULAFENDIS, O [1 ]
BASTOUNIS, E [1 ]
PANAYIOTOPOULOS, YP [1 ]
PAPALAMBROS, EL [1 ]
机构
[1] SPRING BRANCH MEM HOSP,DEPT THORAC & CARDIOVASC SURG,HOUSTON,TX
来源
关键词
PULMONARY EMBOLISM; SURGERY; THROMBOENDARTERECTOMY; CARDIOPULMONARY BYPASS; EMBOLECTOMY; CHRONIC PULMONARY HYPERTENSION;
D O I
10.1016/S0950-821X(05)80617-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In a small but definite number of patients with pulmonary embolism, either gradual resolution of the embolus does not occur or recurrent showers of emboli follow the acute onset, leading to a state of chronic pulmonary hypertension. Two new cases treated surgically without the use of cardiopulmonary bypass are described. The results were excellent in both cases with relief of the dyspnoea and an improvement in the PO2, a result that has been documented in the follow-up of 2-6 years. The only definite treatment of this chronic obstructive pulmonary hypertension is pulmonary thrombo-endarterectomy.
引用
收藏
页码:463 / 466
页数:4
相关论文
共 50 条
  • [1] SURGICAL-MANAGEMENT OF UNRESOLVED PULMONARY-EMBOLISM - A PERSONAL SERIES OF 72 PATIENTS
    SIMONNEAU, G
    AZARIAN, R
    BRENOT, F
    DARTEVELLE, PG
    MUSSET, D
    DUROUX, P
    [J]. CHEST, 1995, 107 (01) : S52 - S55
  • [2] SURGICAL-MANAGEMENT OF CHRONIC PULMONARY-EMBOLISM
    CHITWOOD, WR
    LYERLY, HK
    SABISTON, DC
    [J]. ANNALS OF SURGERY, 1985, 201 (01) : 11 - 26
  • [3] SURGICAL-MANAGEMENT OF CHRONIC PULMONARY-EMBOLISM - SURGICAL-TREATMENT AND LATE RESULTS
    DAILY, PO
    JOHNSTON, GG
    SIMMONS, CJ
    MOSER, KM
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1980, 79 (04): : 523 - 531
  • [4] SURGICAL-TREATMENT OF CHRONIC UNRESOLVED PULMONARY-EMBOLISM
    CHITWOOD, WR
    SABISTON, DC
    WECHSLER, AS
    [J]. CLINICS IN CHEST MEDICINE, 1984, 5 (03) : 507 - 536
  • [5] RESULTS OF THROMBOENDARTERECTOMY FOR CHRONIC PULMONARY-EMBOLISM
    JAULT, F
    CABROL, C
    GANDJBAKHCH, I
    PAVIE, A
    BORS, V
    VAISSIER, E
    CABROL, A
    [J]. ARCHIVES DES MALADIES DU COEUR ET DES VAISSEAUX, 1990, 83 (02): : 205 - 208
  • [6] SURGICAL MANAGEMENT OF ACUTE PULMONARY-EMBOLISM
    BINET, JP
    LANGLOIS, J
    [J]. SEMAINE DES HOPITAUX THERAPEUTIQUE, 1976, 52 (5-6): : 337 - 337
  • [7] SURGICAL MANAGEMENT OF MASSIVE PULMONARY-EMBOLISM
    TSCHIRKOV, A
    KRAUSE, E
    ELERT, O
    SATTER, P
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1978, 75 (05): : 730 - 733
  • [8] SURGICAL MANAGEMENT OF CHRONIC PULMONARY-EMBOLISM
    SABISTON, DC
    WOLFE, WG
    OLDHAM, HN
    WECHSLER, AS
    CRAWFORD, FA
    JONES, KW
    JONES, RH
    [J]. ANNALS OF SURGERY, 1977, 185 (06) : 699 - 712
  • [9] THE SURGICAL-MANAGEMENT OF APPARENTLY WELL TOLERATED ACUTE PULMONARY-EMBOLISM - REPORT ON 12 CASES
    GANDJBAKHCH, I
    VILLEMOT, JP
    PAVIE, A
    BARRA, J
    MATTEI, MF
    CABROL, C
    CABROL, A
    [J]. ANNALES DE CHIRURGIE, 1981, 35 (08): : 665 - 665
  • [10] IS CIRCULATORY SUPPORT BY FEMOROFEMORAL CANNULATION AN ASSET IN THE SURGICAL-MANAGEMENT OF ACUTE MASSIVE PULMONARY-EMBOLISM
    GIRAUD, C
    LAGUERRE, J
    CERENE, A
    PUEL, P
    [J]. ANNALES DE CHIRURGIE, 1984, 38 (07): : 572 - 576