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Other Techniques in Special Circumstances: Pulmonary Thromboendarterectomy in Right Heart Failure

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Management of Heart Failure

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Abstract

Chronic thromboembolic pulmonary hypertension still remains an under-recognized and misdiagnosed condition. If left untreated, it can progress to right heart failure. Diagnosis and referral to a specialized center is paramount since surgical treatment offers a life-long cure to these patients and reversal of their right heart failure. Although new medications have been developed to treat pulmonary hypertension, they remain significantly inferior to surgical treatment in both exercise capacity and pulmonary vascular resistance improvement. The UCSD surgical classification describes the level of disease and corresponds to the difficulty of the endarterectomy. Pulmonary thromboendarterectomy remains the gold standard treatment for patients with chronic thromboembolic pulmonary hypertension. In experienced hands, pulmonary thromboendarterectomy can be performed with excellent long-term results and very low mortality.

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Authors and Affiliations

  1. Division of Cardiovascular and Thoracic Surgery, University of California San Diego, Medical Center, San Diego, CA, USA

    Travis L. Pollema DO & Michael M. Madani MD

Authors
  1. Travis L. Pollema DO
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  2. Michael M. Madani MD
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Correspondence to Travis L. Pollema DO .

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Editors and Affiliations

  1. Cardiovascular & Thoracic Surgery, Rush University Medical Center, Chicago, USA

    Jai Raman

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Pollema, T.L., Madani, M.M. (2016). Other Techniques in Special Circumstances: Pulmonary Thromboendarterectomy in Right Heart Failure. In: Raman, J. (eds) Management of Heart Failure. Springer, London. https://doi.org/10.1007/978-1-4471-4279-9_15

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  • DOI: https://doi.org/10.1007/978-1-4471-4279-9_15

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4278-2

  • Online ISBN: 978-1-4471-4279-9

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