Central extracorporeal membrane oxygenation and early rehabilitation for persistent severe pulmonary hypertension following pulmonary endarterectomy
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Chronic thromboembolic pulmonary hypertension is potentially curable with a pulmonary endarterectomy. However, approximately 20% of patients have persistent pulmonary hypertension after pulmonary endarterectomy, which is a major risk factor for postoperative death. Here, we report a 34-year-old woman who suffered persistent severe pulmonary hypertension following a successful pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension. Extracorporeal membrane oxygenation (ECMO) and atrial septostomy were successfully performed as rescue treatments, and active rehabilitation during ECMO was prescribed to facilitate recovery.
Abstract
Chronic thromboembolic pulmonary hypertension is potentially curable with a pulmonary endarterectomy. However, approximately 20% of patients have persistent pulmonary hypertension after pulmonary endarterectomy, which is a major risk factor for postoperative death. Here, we report a 34-year-old woman who suffered persistent severe pulmonary hypertension following a successful pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension. Extracorporeal membrane oxygenation (ECMO) and atrial septostomy were successfully performed as rescue treatments, and active rehabilitation during ECMO was prescribed to facilitate recovery.
참고문헌 (16)
- Galiè N, "2015 ESC", ERS guidelines for the diagnosis and treatment of pulmonary hypertension : the Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology(ESC)and the European Respiratory Society(ERS), 2015, pp.46, 903~975
- Madani MM, "Pulmonary endarterectomy : recent changes in a single institution’s experience of more than 2, 700 patients", Ann Thorac Surg, 94, pp.97~103 (2012)
- Cannon JE, "Dynamic risk stratification of patient long-term outcome after pulmonary endarterectomy : results from the United Kingdom National Cohort", Circulation, 133, pp.1761~1771 (2016)
- Delcroix M, "Long-term outcome of patients with chronic thromboembolic pulmonary hypertension : results from an international prospective registry", Circulation, 133, pp.859~871 (2016)
- Jamieson SW, "Pulmonary endarterectomy : experience and lessons learned in 1, 500 cases", Ann Thorac Surg, 76, pp.1457~1462 (2003)
- Boulate D, "Extracorporeal life support after pulmonary endarterectomy as a bridge to recovery or transplantation : lessons from 31 consecutive patients", Ann Thorac Surg, 102, pp.260~268 (2016)
- Nierlich P, "Perioperative extracorporeal membrane oxygenation bridging in patients undergoing pulmonary endarterectomy", Interact Cardiovasc Thorac Surg, 22, pp.181~187 (2016)
- Barst RJ, "Role of atrial septostomy in the treatment of pulmonary vascular disease", Thorax, 55, pp.95~96 (2000)
- Sandoval J, "Effect of atrial septostomy on the survival of patients with severe pulmonary arterial hypertension", Eur Respir J, 38, pp.1343~1348 (2011)
- Yusen RD, "The registry of the International Society for Heart and Lung Transplantation : thirtieth adult lung and heart-lung transplant report--2013; focus theme : age", J Heart Lung Transplant, 32, pp.965~978 (2013)
- Valentine VG, "Lung transplantation", pp.75~82 (2010), Informa Healthcare
- Mason DP, "Should lung transplantation be performed for patients on mechanical respiratory support? The US experience", J Thorac Cardiovasc Surg, 139, pp.765~773.e1 (2010)
- Collaud S, "Rescue balloon pulmonary angioplasty for early failure of pulmonary endarterectomy:the earlier the better?", Int J Cardiol, 222, pp.39~40 (2016)
- Mizoguchi H, "Refined balloon pulmonary angioplasty for inoperable patients with chronic thromboembolic pulmonary hypertension", Circ Cardiovasc Interv, 5, pp.748~755 (2012)
- Shimura N, "Additional percutaneous transluminal pulmonary angioplasty for residual or recurrent pulmonary hypertension after pulmonary endarterectomy", Int J Cardiol, 183, pp.138~142 (2015)
- Abrams D, "Early mobilization of patients receiving extracorporeal membrane oxygenation : a retrospective cohort study", Crit Care, 18, pp.R38~ (2014)