RESUMEN
Aim of the study was assessment of severity of cardiorespiratory abnormalities and cerebral oxygen supply in patients with chronic thromboembolic pulmonary hypertension (CTEPH). We examined 56 patients with diagnosis of chronic pulmonary thromboembolism and duration of the disease 3 (1.5-4.1) years. According to data of pulmonary angiography pulmonary artery pressure was 78 (58-92) mm Hg, pulmonary vascular resistance - 618 (450-935) dyne/sec/cm-5, Miller index - 25 (22-27). Further investigation revealed changes of anatomo-functional parameters of the heart and parameters of pulmonary ventilation. These changes were associated with insufficient oxygen supply to the brain and lowering of tolerance to hypoxia. Results of this study should be taken into consideration when brain protective measures are provided during surgical treatment of CTEPH.
Asunto(s)
Encéfalo , Hipertensión Pulmonar , Hipoxia Encefálica , Oximetría/métodos , Consumo de Oxígeno , Embolia Pulmonar , Adulto , Encéfalo/metabolismo , Encéfalo/fisiopatología , Interpretación Estadística de Datos , Ecocardiografía Doppler/métodos , Femenino , Humanos , Hipertensión Pulmonar/diagnóstico , Hipertensión Pulmonar/etiología , Hipertensión Pulmonar/fisiopatología , Hipoxia Encefálica/diagnóstico , Hipoxia Encefálica/etiología , Hipoxia Encefálica/metabolismo , Hipoxia Encefálica/fisiopatología , Masculino , Persona de Mediana Edad , Cuidados Preoperatorios/métodos , Pronóstico , Embolia Pulmonar/complicaciones , Embolia Pulmonar/diagnóstico , Embolia Pulmonar/fisiopatología , Embolia Pulmonar/cirugía , Enfermedad Cardiopulmonar/etiología , Enfermedad Cardiopulmonar/fisiopatología , Reproducibilidad de los Resultados , Índice de Severidad de la Enfermedad , Análisis Espectral/métodos , Trombectomía/métodos , Resistencia VascularRESUMEN
Presented herein are the results of successful surgical treatment by extraanatomic bypass grafting of coarctation of the aorta complicated by septic aortitis and a pseudoaneurysm of the anastomosis between the graft and aortic arch.
