Acute Pulmonary Thromboembolism: 14 Years of Surgical Experience / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 78-84, 2019.
Article
de En
| WPRIM
| ID: wpr-761842
Bibliothèque responsable:
WPRO
ABSTRACT
BACKGROUND: Pulmonary thromboembolism (PTE) is a life-threatening disease with high mortality. This study aimed to assess the outcomes of surgical embolectomy and to clarify the sustained long-term effects of surgery by comparing preoperative, postoperative, and long-term follow-up echocardiography outcomes. Of 22 survivors, 21 were followed up for a mean (median) period of 6.8±5.4 years (4.2 years). METHODS: We retrospectively reviewed 27 surgical embolectomy cases for massive or submassive acute PTE from 2003 to 2016. Immediate and long-term follow-up outcomes of surgical embolectomy were assessed on the basis of 30-day mortality, long-term mortality, postoperative complications, right ventricular systolic pressure, and tricuspid regurgitation grade. RESULTS: The 30-day and long-term mortality rates were 14.8% (4 of 27) and 4.3% (1 of 23), respectively. Three patients had major postoperative complications, including hypoxic brain damage, acute kidney injury, and endobronchial bleeding, respectively (3.7% each). Right ventricular systolic pressure (median [range], mm Hg) decreased from 62.0 (45.5–78.5) to 31.0 (25.7–37.0, p<0.001). The tricuspid valve regurgitation grade (median [range]) decreased from 1.5 (0.63–2.00) to 0.50 (0.50–1.00, p<0.05). The improvement lasted until the last echocardiographic follow-up. CONCLUSION: Surgical embolectomy revealed favorable mortality and morbidity rates in patients with acute massive or submassive PTE, with sustained long-term improvements in cardiac function.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Complications postopératoires
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Embolie pulmonaire
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Insuffisance tricuspide
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Pression sanguine
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Échocardiographie
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Pontage cardiopulmonaire
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Hypoxie cérébrale
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Études rétrospectives
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Études de suivi
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Mortalité
Type d'étude:
Observational_studies
/
Prognostic_studies
Limites du sujet:
Humans
langue:
En
Texte intégral:
The Korean Journal of Thoracic and Cardiovascular Surgery
Année:
2019
Type:
Article