文摘
慢性大血管血栓栓塞肺动脉高压(CTEPH),是一种常见的情况,在过去,是一个解剖的好奇心。先进的诊断方法、手术技术及术后管理这种障碍转变成一种潜在的可以治愈的肺动脉高压。主要症状是不明原因的呼吸困难在努力。这个投诉,患者应考虑CTEPH。大量缺陷存在诊断路径。肺灌注扫描指向诊断,但往往低估中央动脉阻塞的程度。肺血管造影是诊断的关键过程,但许多血栓organization-recanalization模式需要一个基础的经验进行适当的解释。标准进化选择的病人做手术,但保证血栓可访问性手术是至关重要的。外科thromboendarterectomy相似性没有急性肺栓子切除术。识别血栓(与正常内膜),细致的解剖,一场不流血的外科领域足够的恢复肺血管开放至关重要。 Multiple complications may arise postoperatively, and detailed attention to these is required for patient survival. With a co-ordinated, multi-specialty team effort, however, haemodynamic and clinical outcomes have been rewarding and persist long-term. Surgical mortality should steadily decline with such a co-ordinated effort, as well as earlier diagnosis and advances in surgical and postoperative management techniques.