You are here

Home » Content

Pulmoner Tromboendarterektomi Olgusu

A Case of Pulmonary Thromboendarterectomy

Journal Name:

  • Fırat Tıp Dergisi

Publication Year:

  • 2008

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Cardiopulmonary function in patients with chronic thromboembolic pulmonary hypertension can be normalized by pulmonary endarterectomy. Pulmonary thromboendarterectomy (PTE) is likely that organized fibrous materials have taken out with during cardiopulmonary bypass. It has high mortality. We aimed to present a case of pulmonary endarterectomy following chronic thromboembolic pulmonary hypertension due to deep venous thrombosis before 6 years ago, who is 28 years old-male, in this paper. First, a tissue-plasminogen activator was used because of high surgical mortality. As clinic situation did not relieve, PTE was performed in the patient. All data improved in early postoperative period and after pump. Nevertheless the state of pulmonary edema progressed in the 4th hour of postoperative period approximately. Although additional medical treatment, the clinical situation of patient impaired again in the 12th hour of postoperative period. The patient was expired due to cardiac arrest. We think that surgical mortality will be decreased by obtained clinical experience with such surgical interventions. ©200008, Firat University, Medical Faculty
Bookmark/Search this post with
Abstract (Original Language): 
Kronik tromboembolik pulmoner hipertansiyonlu hastalarda kardiyopulmoner fonksiyonlar pulmoner tromboendarterektomi ile normale döndürülebilir. Pulmoner tromboendarterektomi (PTE); kardiyopulmoner baypas eşliğinde, pulmoner arterlerden organize olmuş fibröz materyallerin çıkartılmasını temel alan, mortalitesi yüksek cerrahi bir işlemdir. Bu yazıda; 6 yıl önce geçirmiş olduğu derin ven trombozuna bağlı kronik tromboembolik pulmoner hipertansiyon gelişen, 28 yaşında bir erkek hastaya yaptığımız PTE olgusunu sunmayı amaçladık. Olguda öncelikle cerrahi mortalitenin yüksek olması nedeniyle doku plazminojen aktivatörü kullanıldı. Klinik durumun düzelmemesi üzerine PTE uygulandı. Pompa sonrası ve erken operasyon sonrası dönemde bütün veriler normale döndü. Ancak ameliyat sonrası 4.saatte pulmoner ödem tablosu gelişmesi ve ilave tedaviler ile klinik bulguların düzelmemesi üzerine operasyon sonrası 12. saatte ani gelişen kardiyak arrest nedeniyle hasta kaybedildi. Bu tür cerrahi girişimler ile elde edilecek klinik deneyimlerin cerrahi mortaliteyi zamanla azaltacağını düşünüyoruz.©2008, Fırat Üniversitesi, Tıp Fakültesi
FULL TEXT (PDF): 
PDF icon arastrmx_135291_13_pp_156-158.pdf
  • 2
156-158
  • Turkish

REFERENCES

References: 

1. Kouchoukos NT, Blackstone EH, Doty DB, et al. Diseases of the Pulmonary Arteries. In: Kirklin JW, Barret-Boyes BG. Cardiac Surgery. Third edition. Philadelphia; Elsevier Science; 2003:
1901-1918.
2. Madani MM, Jamieson SW. Pulmonary Thromboendarterectomy. In: Cohn LH, Edmunds LH. Cardiac Surgery in the Adult. Second edition. USA; The McGraw-Hill Companies; 2003: 1205-1228.
3. Lindner J, Jansa P, Kunstyr J, et al. Pulmonary endarterectomy-¬the surgical treatment of chronic thromboembolic pulmonary hypertension. Cas Lek Cesk 2006;145: 307-312.
4. Yaycıoğlu A, Arıbal D, Tatlıcıoğlu E: Cerrahi Damar
Hastalıkları, 2. baskı, Türkiye Klinikleri Yayınları, 1987:393-408.
5. Moser KM, Auger WR, Fedullo PF, et al. Chronic thromboembolic pulmonary hypertension: clinical picture and surgical treatment. Eur Respir J 1992; 5: 334-342.
6. Dartevelle P, Fadel E, Mussot S, et al. Chronic thromboembolic pulmonary hypertension. Eur Respir J 2004; 23: 637-648.
7. Benotti JR, Ockene IS, Alpert JS, et al. The clinical profile of unresolved pulmonary embolism. Chest 1983; 84: 669-678.
8. Riedel M, Stanek V, Widimsky J, et al. Long term follow up of patients with pulmonary embolism: late prognosis and evolution of hemodynamic and respiratory data. Chest 1982; 81: 151-158.
9. Daily PO, Johnston GG, Simmons CJ, et al. Surgical management of chronic pulmonary embolism: surgical treatment and late results. J Thorac Cardiovasc Surg 1980; 79: 523-531.
10. Dartevelle P, Fadel E, Chapelier A, et al. Pulmonary thromboendarterectomy with video-angioscopy and circulatory arrest: an alternative to cardiopulmonary transplantation and post-embolism pulmonary artery hypertension. Chirurgie 1998; 123:
32-40.
11. Özyurt Y, Erkal H, Arıkan Z, Demirhan R. Akut Respiratuar Distres Sendromu (ARDS). Türk Göğüs Kalp Damar Cerrahisi
Dergisi. 2002; 10: 126-130.

Thank you for copying data from http://www.arastirmax.com