Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Anesthesia and intensive care for pulmonary endarterectomy in patients with chronic thromboembolic pulmonary hypertension

Authors: Diasamidze K.E., Rybka M.M., Rakhmonov K.Kh.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2023-20-3-266-277

UDC: 616.12-008.331.1-089.5

Link: Clinical Physiology of Blood Circulaiton. 2023; 3 (20): 266-277

Quote as: Diasamidze K.E., Rybka M.M., Rakhmonov K.Kh. Anesthesia and intensive care for pulmonary endarterectomy in patients with chronic thromboembolic pulmonary hypertension. Clinical Physiology of Circulation. 2023; 20 (3): 266–77 (in Russ.). DOI: 10.24022/1814-6910-2023-20-3-266-277

Received / Accepted:  25.06.2023 / 25.07.2023

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Abstract

Chronic thromboembolic pulmonary hypertension (CTEPH) results from recurrence or incomplete resolution of a pulmonary embolism. CTEPH is much more common than is commonly believed. It has been established that about 10% of patients with acute pulmonary embolism develop CTEPH during the first two years. If left untreated, it can lead to right ventricular failure and death. It is critical that all patients with pulmonary hypertension (PH) be screened for CTEPH, as this form of PH is potentially treatable with pulmonary endarterectomy. The success of this operation largely depends on the interaction of specialists in various fields, which includes the therapy of pulmonary pathology, cardiothoracic surgery and cardioanesthesiology.
This review focuses on the clinical history, anesthesia management and postoperative intensive care.

About Authors

  • Kakhaber E. Diasamidze, Dr. Med. Sci., Leading Researcher; ORCID
  • Mikhail M. Rybka, Dr. Med. Sci., Deputy Director for Anesthesiology and Resuscitation, Head of Department of Anesthesiology, Resuscitation and Intensive Care; ORCID
  • Komoliddin Kh. Rakhmonov, Cand. Med. Sci., Cardiovascular Surgeon; ORCID

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