Surgical Treatment of Severe Pulmonary Hypertension
| Autor: | Donald E. Cassels, Peter V. Moulder, James J. Rams, George R. Daicoff |
|---|---|
| Rok vydání: | 1967 |
| Předmět: |
Heart Septal Defects
Ventricular medicine.medical_specialty Hypertension Pulmonary medicine.medical_treatment Atrial Pressure Embolectomy Pulmonary Artery Pulmonary artery banding Internal medicine medicine Humans Mitral Valve Stenosis Tolazoline Pulmonary wedge pressure Ductus Arteriosus Patent business.industry Blood gas tension General Medicine medicine.disease Pulmonary hypertension Surgery Cardiology Pulmonary Embolism business Shunt (electrical) medicine.drug |
| Zdroj: | Diseases of the Chest. 51:39-45 |
| ISSN: | 0096-0217 |
| DOI: | 10.1378/chest.51.1.39 |
| Popis: | Summary Surgical therapy is considered for pulmonary hypertension in: 1) high flow left-to-right shunts in a small vascular bed in respect to either obliteration of the shunt or banding the main pulmonary artery; 2) low flow left-to-right shunt with moderately increased pulmonary vascular resistance with complete repair but with a vigorous schema of pre-and postoperative care including chronic tolazoline therapy to remove the vasoconstrictive factor and strict blood gas tension control; 3) balanced systemic-pulmonary vascular systems with an experimental procedure, unilateral pulmonary artery banding; 4) left atrial hypertensive disease with an abnormal pulmonary to atrial pressure gradient with standard operations but exquisite preparation and care; and, 5) acute obliteration of the major portion of the pulmonary arterial tree with accurate diagnosis and medical or surgical embolectomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|