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Risk factors for pulmonary thromboendarterectomy

Authors :
Pat O. Daily
William R. Auger
Stein Iversen
Kenneth M. Moser
Walter P. Dembitsky
Source :
The Journal of Thoracic and Cardiovascular Surgery. 99:670-678
Publication Year :
1990
Publisher :
Elsevier BV, 1990.

Abstract

Pulmonary thromboendarterectomy is being performed with increasing frequency for incapacitating pulmonary hypertension caused by chronic large-vessel pulmonary embolism. However, patient-related risk factors and procedural complications associated with morbidity and mortality have not been fully defined. From Oct. 1, 1984, to April 10, 1989, we performed pulmonary thromboendarterectomy using deep hypothermia and circulatory arrest in 127 consecutive patients (62.2% male, mean age 50 ± 16 [standard deviation], range 20 to 82 years) in whom the exposure and dissection of the pulmonary arteries and methods for myocardial protection have been standardized. End points for univariate and multivariate analyses of risk factors were reperfusion pulmonary edema leading to respiratory insufficiency as defined by ventilator dependency (≥5 days) (31.5%, 39/124) and hospital mortality (12.6%, 16/127). Multivariate analyses showed that ascites and need for 4 units of blood or more predicted ventilator dependency (p

Details

ISSN :
00225223
Volume :
99
Database :
OpenAIRE
Journal :
The Journal of Thoracic and Cardiovascular Surgery
Accession number :
edsair.doi...........3ff195ae4982239c67341ca5b64ffef8
Full Text :
https://doi.org/10.1016/s0022-5223(19)36942-9