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Eur J Cardiothorac Surg 2003;24:656-658
© 2003 Elsevier Science NL

Case report

Emergent pulmonary thromboendarterectomy with percutaneous cardiopulmonary support system for chronic thromboembolic pulmonary hypertension

Department of Cardiothoracic Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan

Received 21 January 2003; received in revised form 3 June 2003; accepted 12 June 2003.

^* Corresponding author. Tel.: +81-3-5800-8654; fax: +81-3-5684-3989
e-mail: funcorogash{at}hotmail.com

Pulmonary thromboendarterectomy offers a comparatively low surgical mortality rate with appropriate patient selection. However, the operative mortality in patients with high pulmonary vascular resistance or severe pulmonary hypertension and subsequent right ventricular failure is poor. We report an unusual case that survived an emergent pulmonary thromboendarterectomy for chronic thromboembolic pulmonary hypertension with right ventricular failure.

Key Words: Chronic thromboembolic pulmonary hypertension • Pulmonary thromboendarterectomy • Right ventricular failure • Percutaneous cardiopulmonary support system