Is There Any Role of Pulmonary Endarterectomy in Pulmonary Arterial Hydatidosis?
| Autor: | Emine Bozkurtlar, Mehmed Yanartaş, Sehnaz Olgun Yildizeli, Bedrettin Yildizeli, Serpil Taş, Ayşe Zehra Karakoç, Ahmet Zengin, Nezih Onur Ermerak, Bu¨lent Mutlu, Atakan Erkılınç, Hasan Sunar |
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| Rok vydání: | 2022 |
| Předmět: |
Male
Adult Pulmonary and Respiratory Medicine Hemoptysis medicine.medical_specialty Echinococcosis Pulmonary Adolescent Hypertension Pulmonary Hydatid cyst Endarterectomy Disease Pulmonary Artery Pulmonary endarterectomy Young Adult Cystic lesion medicine.artery medicine Humans biology business.industry Perioperative biology.organism_classification Surgery Treatment Outcome Echinococcus medicine.anatomical_structure Chronic Disease Pulmonary artery Vascular resistance Female Pulmonary Embolism Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Annals of Thoracic Surgery. 114:2093-2099 |
| ISSN: | 0003-4975 |
| Popis: | Background Hydatid Cyst is a zoonosis caused by Echinococcus granulosis. Pulmonary artery involvement is a rare condition. The aim of this study was to review our experience in the surgical treatment of pulmonary arterial hydatidosis. Methods Data were collected prospectively for consecutive patients who underwent pulmonary endarterectomy and had a diagnosis of hydatidosis at or after surgery. Results Eight patients (two male, six female, mean age, 31.25±13.68 years) with hydatidosis were defined. Only one patient presented with hemoptysis, while the rest of the patients reported exertional dyspnea as their main symptom. Cardiac hydatidosis associated with pulmonary arterial involvement was noted in one patient. The mean time interval for duration of disease was 12±24.29 months before PEA. Mortality was observed in two patients due to massive hemoptysis in one and right heart failure in one. No anaphylactic reaction was observed. Significant difference was detected in mean pulmonary vascular resistance as decline from 442.38±474.20 to 357.25±285.34 dyn/s/cm-5 following surgery (p: 0.011). Two patients had recurrence of the disease following a median follow-up of 9.1 months All survivors improved to New York Heart Association functional class I and II. Conclusions Pulmonary arterial hydatidosis may mimic chronic thromboembolic pulmonary hypertension and these patients can be diagnosed with pulmonary endarterectomy. Surgery may be a therapeutic option for patients who do not respond to medical therapy if the cystic lesions are surgically accessible. Pulmonary endarterectomy should be performed only in expert centers because of the high risk of perioperative morbidity, mortality, and postoperative recurrence. |
| Databáze: | OpenAIRE |
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