Autor: |
Smita Sihag, Bao Le, Alison S. Witkin, Josanna M. Rodriguez-Lopez, Mauricio A. Villavicencio, Gus J. Vlahakes, Richard N. Channick, Cameron D. Wright |
Jazyk: |
angličtina |
Rok vydání: |
2017 |
Předmět: |
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Zdroj: |
Journal of Cardiothoracic Surgery, Vol 12, Iss 1, Pp 1-6 (2017) |
Druh dokumentu: |
article |
ISSN: |
1749-8090 |
DOI: |
10.1186/s13019-017-0686-1 |
Popis: |
Abstract Background Pulmonary thromboendarterectomy (PTE) is an effective treatment for chronic thromboembolic pulmonary hypertension (CTEPH), but is a technically challenging operation for cardiothoracic surgeons. Starting a new program allows an opportunity to define a learning curve for PTE. Methods A retrospective case review was performed of 134 consecutive PTEs performed from 1998 to 2016 at a single institution. Outcomes were compared using either a two-tailed t-test for continuous variables or a chi-squared test for categorical variables according to experience of the program by terciles (T). Results The 30-day mortality was 3.7%. The mean length of hospital stay, length of ICU stay, and duration on a ventilator were 12.6 days, 4.6 days, and 2.0 days, respectively. The mean decrease in systolic pulmonary artery pressure (sPAP) was 41.3 mmHg. Patients with Jamieson type 2 disease had a greater change in mean sPAP than those with type 3 disease (p = 0.039). The mean cardiopulmonary bypass time was 180 min (T1–198 min, T3–159 min, p = |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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