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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
"hypertension"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
aniridia
aromatase deficiency
cadasil
child syndrome
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cushing syndrome
cystinuria
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
fabry disease
familial hypocalciuric hypercalcemia
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kallmann syndrome
kindler syndrome
lamellar ichthyosis
lymphangioleiomyomatosis
pendred syndrome
primary effusion lymphoma
scrub typhus
severe combined immunodeficiency
sneddon syndrome
typhoid
von hippel-lindau disease
well-differentiated liposarcoma
werner syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
This symptom has already been validated