ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Gregor Zund
René Prêtre
Paul R. Vogt
Marko I. Turina
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Zund, G.
Right arrow Articles by Turina, M. I.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Zund, G.
Right arrow Articles by Turina, M. I.

Ann Thorac Surg 1998;66:1821-1823
© 1998 The Society of Thoracic Surgeons

How to Do It

Improved exposure of the pulmonary arteries for thromboendarterectomy

Gregor Zund, MDa, René Prêtre, MDa, Urs Niederhäuser, MDa, Paul R. Vogt, MDa, Marko I. Turina, MDa

a Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland

Address reprint requests to Dr Zund, Clinic for Cardiovascular Surgery, University Hospital Zurich, CH-8091 Zurich, Switzerland

Presented at the Poster Session of the Thirty-fourth Annual Meeting of The Society of Thoracic Surgeons, New Orleans, LA, Jan 26–28, 1998.

Pulmonary thromboendarterectomy is a surgical technique for treating pulmonary hypertension caused by unresolved pulmonary embolism. It has been recommended to perform this procedure under deep hypothermic circulatory arrest. Here we describe two technical modifications: (1) improved exposure to the right pulmonary artery by division of the superior caval vein and (2) thromboendarterectomy in normothermic cardiopulmonary bypass, with beating heart or electrically induced ventricular fibrillation. These modifications allow complete endarterectomy of both pulmonary arteries under normothermic conditions, thus avoiding hypothermic circulatory arrest, which results in short cardiopulmonary bypass times and reduces the morbidity and mortality of this procedure.




This article has been cited by other articles:


Home page
 Eur J Cardiothorac SurgHome page
P. M. Mikus, E. Mikus, S. Martin-Suarez, N. Galie, A. Manes, S. Pastore, and G. Arpesella
Pulmonary endarterectomy: an alternative to circulatory arrest and deep hypothermia: mid-term results
Eur J Cardiothorac Surg, July 1, 2008; 34(1): 159 - 163.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
P. Macchiarini, H. Kamiya, C. Hagl, M. Winterhalter, J. Barbera, M. Karck, J. Pomar, and A. Haverich
Pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension: is deep hypothermia required?
Eur J Cardiothorac Surg, August 1, 2006; 30(2): 237 - 243.
[Abstract] [Full Text] [PDF]

Home page
 PerfusionHome page
L. Puis, E. Vandezande, L. Vercaemst, P. Janssens, Y. Taverniers, M. Foulon, R. Demeyere, M. Delcroix, and W. Daenen
Pulmonary thromboendarterectomy for chronic thromboembolic pulmonary hypertension
Perfusion, March 1, 2005; 20(2): 101 - 108.
[Abstract] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
C. Hagl, N. Khaladj, T. Peters, M. M. Hoeper, F. Logemann, A. Haverich, and P. Macchiarini
Technical advances of pulmonary thromboendarterectomy for chronic thromboembolic pulmonary hypertension
Eur J Cardiothorac Surg, May 1, 2003; 23(5): 776 - 781.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1998 by The Society of Thoracic Surgeons.