Combining pulmonary thromboendarterectomy with multiple major cardiac surgeries was safe and led to marked functional and hemodynamic improvement at 6 months.
Is it safe and feasible to perform bilateral pulmonary thromboendarterectomy (PTE) combined with multiple major cardiac procedures in a patient with chronic thromboembolic pulmonary hypertension?
This case report demonstrates that pulmonary thromboendarterectomy can be safely and successfully combined with multiple major cardiac procedures (CABG, aortic repair, PFO closure, LAA ligation) with good 6-month outcomes.
Absolute Event Rate: 0% vs 0%
Abstract Pulmonary thromboendarterectomy (PTE) is the only curative treatment for chronic thromboembolic pulmonary hypertension. While combining PTE with a single cardiac procedure is well established, evidence for performing it with multiple major procedures is limited. We report a successful bilateral PTE with coronary artery bypass grafting, ascending aortic and hemiarch repair, patent foramen ovale closure, and left atrial appendage ligation. The patient recovered uneventfully, with marked functional and hemodynamic improvement at 6 months. This case demonstrates the safety and feasibility of complex cardiac surgery with PTE, underscoring the value of thorough, multidisciplinary preoperative planning.
Hay-Arthur et al. (Fri,) reported a other. Combining pulmonary thromboendarterectomy with multiple major cardiac surgeries was safe and led to marked functional and hemodynamic improvement at 6 months.