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Pulmonary Endarterectomy: Part II. Operation, Anesthetic Management, and Postoperative Care.
[heparin-induced thrombocytopenia]
Chronic
thromboembolic
pulmonary
hypertension
(
CTEPH
)
results
from
recurrent
or
incomplete
resolution
of
pulmonary
embolism
.
CTEPH
is
much
more
common
than
generally
appreciated
.
Although
pulmonary
embolism
(
PE
)
affects
a
large
number
of
Americans
,
chronic
pulmonary
thromboembolic
hypertension
remains
underdiagnosed
.
It
is
imperative
that
all
patients
with
pulmonary
hypertension
(
PH
)
be
screened
for
the
presence
of
CTEPH
since
this
form
of
PH
is
potentially
curable
with
pulmonary
endarterectomy
(
PEA
)
surgery
.
The
success
of
this
procedure
depends
greatly
on
the
collaboration
of
a
multidisciplinary
team
approach
that
includes
pulmonary
medicine
,
cardiothoracic
surgery
,
and
cardiac
anesthesiology
.
This
review
,
based
on
the
experience
of
more
than
3000
pulmonary
endarterectomy
surgeries
,
is
divided
into
2
parts
.
Part
I
focuses
on
the
clinical
history
and
pathophysiology
,
diagnostic
workup
,
and
intraoperative
echocardiography
.
Part
II
focuses
on
the
surgical
approach
,
anesthetic
management
,
postoperative
care
,
and
complications
.
Diseases
Validation
Diseases presenting
"large number"
symptom
acute rheumatic fever
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
canavan disease
coats disease
cowden syndrome
dedifferentiated liposarcoma
dracunculiasis
epidermolysis bullosa simplex
fabry disease
familial mediterranean fever
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
kindler syndrome
legionellosis
malignant atrophic papulosis
neuralgic amyotrophy
phenylketonuria
pleomorphic liposarcoma
primary effusion lymphoma
scrub typhus
severe combined immunodeficiency
triple a syndrome
waldenström macroglobulinemia
well-differentiated liposarcoma
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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