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Ugeskrift for laeger · Oct 1997
Case Reports[Thromboendarterectomy of chronic thromboembolic pulmonary hypertension].
- H Allermand, B O Kristensen, C L Christiansen, and M R Egeblad.
- Arhus Universitetshospital, Skejby Sygehus, hjertemedicinsk afdeling B.
- Ugeskr. Laeg. 1997 Oct 6;159(41):6079-81.
AbstractChronic thromboembolic pulmonary hypertension has a five year survival rate of less than 10% in patients with a systolic pulmonary artery pressure of 50 mmHg with no convincing effect of medical treatment. The operative mortality from pulmonary thrombendarterectomy in specialised centres has been reduced to 9%, suggesting this treatment as being an option. The results from thrombendarterectomy of two Danish patients are reported. The first patient, a 34 year-old woman was operated at the centre in San Diego with the assistance of a Danish thoracic surgeon. The second, a 60 year-old man was operated at our institution by this surgeon. Following removal of sufficient amount of embolic masses and intimal tissue, the patients were discharged from hospital with a substantial improvement in their clinical status and near normalisation of pulmonary artery pressure, which remained at the latest follow-up (3 to 22 months).
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