TY - T1的肺部动脉内膜切除术的结果在慢性血栓栓塞疾病症状JF -欧洲呼吸杂志》乔和J SP - 1635 LP - 1645欧元——10.1183/09031936.00050114六世- 44 - 6非盟-多洛雷斯Taboada AU -乔安娜Pepke-Zaba AU -大卫·p·詹金斯AU -伯曼马吕斯盟-卡门·m·崔西AU -约翰·e·坎农非盟-马克Toshner AU -约翰·J·邓宁盟Choo Ng AU -史蒂文·s .崔盟凯伦k .剪切Y1 - 2014/12/01 UR - //www.qdcxjkg.com/content/44/6/1635.abstract N2 -慢性血栓栓塞疾病的特点是持续没有肺动脉高压肺血栓栓塞遮挡。早期手术治疗肺部动脉内膜切除术可以改善症状和预防疾病进展。我们试图评估结果的肺部动脉内膜切除术患者慢性血栓栓塞疾病症状。Patients with symptomatic chronic thromboembolic disease and a mean pulmonary artery pressure <25 mmHg at baseline with right heart catheterisation and treated with pulmonary endarterectomy between January 2000 and July 2013 were identified. Patients were reassessed at 6 months and at 1 year following surgery. A total of 42 patients underwent surgery and the median length of stay in hospital was 11 days. There was no in-hospital mortality but complications occurred in 40% of patients. At 1 year, following surgery, 95% of the patients remained alive. There was a significant symptomatic improvement with 95% of patients in the New York Heart Association functional classes I or II at 6 months. There was a significant improvement in quality of life assessed by the Cambridge pulmonary hypertension outcome review questionnaire. In this carefully selected cohort of chronic thromboembolic disease patients, pulmonary endarterectomy resulted in significant improvement in symptoms and quality of life. Appropriate patient selection is paramount given the known surgical morbidity and mortality, and surgery should only be performed in expert centres. Pulmonary endarterectomy improves symptoms and quality of life in patients with chronic thromboembolic disease http://ow.ly/AeECt ER -