Thrombendarterectomy in chronic pulmonary embolism
Thrombendarterectomy in chronic pulmonary embolism
复制标题
血栓动脉切除术治疗慢性肺栓塞
DOI：
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发表时间：
1986
期刊：
影响因子：
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通讯作者：
V. Björk
中科院分区：
文献类型：
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作者：
L. Bengtsson;A. Henze;A. Holmgren;V. Björk
对3例慢性肺栓塞合并肺动脉高压和右心衰竭的患者进行了肺动脉血栓内膜剥脱术。这种组织保留手术的适应症进行了讨论的背景下提出的情况下，文献。这些适应症是单侧血管阻塞，具有良好的径流，并伴有“中度”肺动脉高压。双肺外周血管改变和压力平衡的患者对血栓动脉内膜切除术反应较差，手术风险较高。对于这些患者，希望在于未来的心肺联合移植资源。
Thrombendarterectomy of the pulmonary artery was performed in three cases of chronic pulmonary embolism with pulmonary hypertension and right heart failure. The indications for such tissue-preserving surgery are discussed against the background of the presented cases and of the literature. These indications are unilateral vascular obstruction with good run-off in combination with ‘moderate’ pulmonary hypertension. Patients with peripheral vascular changes in both lungs and equilibrated pressures respond poorly to thrombendarterectomy and present high surgical risk. For such patients hope lies in future resources for combined heart-lung transplantation.