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First Cases of Pulmonary Endarterectomy in the Czech Republic: a Case Report


Authors: J. Kunstýř 1;  J. Lindner 2;  P. Jansa 3;  E. Mayer 4;  T. Kotulák 1;  M. Lipš 1;  J. Bláha 1;  D. Rubeš 1;  M. Matias 1;  M. Stříteský 1
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. LF UK a VFN, Praha 1;  Klinika kardiovaskulární chirurgie, 1. LF UK a VFN, Praha 2;  II. interní klinika, 1. LF UK a VFN, Praha 3;  Klinik für Herz, Torax und Gefäßchirurgie, Johannes Gutenberg Universität Mainz, Německo 4
Published in: Anest. intenziv. Med., 16, 2005, č. 2, s. 101-104
Category: Anaesthesiology - Case Report

Overview

Pulmonary endarterectomy (PEA) is a well-respected method of therapy of the pulmonary hypertension caused by chronic thromboembolic disease. It is performed only at a small number of world-wide centres. Successfully operated patients have a good long-lasting prognosis and highly improved quality of their lives. The authors present two case reports of the first patients on whom the PEA was performed in the General University Hospital in Prague. In the discussion the authors mention the cerebral protection during a deep hypothermic cardiac arrest and prevention of reperfusion lung injury as a key points of PEA influencing the choice of an anaesthesia technique and postoperative care.

Key words:
extracorporeal circulation – pulmonary hypertension – endarterectomy – induced hypothermia – intravenous anaesthesia


Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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