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Division of Cardiothoracic Surgery (H-892), University of California Medical Center, 200 W Arbor Dr, No. 8892, San Diego, CA 92103-8892
(Email: sjamieson@ucsd.edu; mmadani@ucsd.edu).
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The Papworth group [1] should be congratulated for their success in the complex endeavor of pulmonary endarterectomy. Here they report their experience with the management of cardiopulmonary collapse after pulmonary thromboendarterectomy (PTE) using central extracorporeal membrane oxygenation (ECMO) support. Although there are some differences between our techniques in performing PTE and our management of postoperative cardiorespiratory failure, the fundamentals remain the same: the treatment for chronic pulmonary hypertension is the surgical removal of the disease by means of endarterectomy, and some patients with severe
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