Pulmonary thromboendarterectomy: Case Report

Abstract

Thromboendarterectomy is one of the choices for the treatment of chronic pulmonary hypertension related to chronic thromboembolic obstruction. Thromboendarterectomy can be life-saving for patients who have homodynamic instability despite active and appropriate medical treatment, who have massive pulmonary obstruction at one of the main pulmonary artery and who are young and without any additional pulmonary and cardiac disease. Although the mortality rate is about 10% in reported studies, it can be decreased by suitable patient selection, experience and good postoperative intensive care. Thromboendarterectomy experience is very limited in Turkey because of the lack of experience, high mortality rate and lack of multidisciplinary approach. In this paper, a chronic pulmonary thromboembolism case who is treated with surgical thromboendarterectomy is presented to aid experience about this subject in our country.