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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