Preoperative balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension led to successful anesthetic management for total hysterectomy under general anesthesia: a case report.
Balloon pulmonary angioplasty
Chronic thromboembolic pulmonary hypertension
Pulmonary hypertension
Journal
JA clinical reports
ISSN: 2363-9024
Titre abrégé: JA Clin Rep
Pays: Germany
ID NLM: 101682121
Informations de publication
Date de publication:
17 Jul 2020
17 Jul 2020
Historique:
received:
10
05
2020
accepted:
07
07
2020
entrez:
19
7
2020
pubmed:
19
7
2020
medline:
19
7
2020
Statut:
epublish
Résumé
Chronic thromboembolic pulmonary hypertension (CTEPH) is a disease of obstructive pulmonary artery remodeling as a consequence of major vessel thromboembolism. Balloon pulmonary angioplasty (BPA) is an alternative treatment for patients with inoperable CTEPH. We report a case of CTEPH which improved following preoperative BPA intervention, allowing total hysterectomy to be performed. A 48-year-old woman was transferred to our hospital to undergo total hysterectomy for endometrial cancer. She developed pulmonary embolism 7 months ago at another hospital, and a diagnosis of CTEPH was made based on multiple pulmonary emboli and pulmonary hypertension at our institute. Two BPA sessions for seven branches of the bilateral pulmonary arteries were conducted, resulting in a decrease of mean pulmonary artery pressure from 54 to 33 mmHg. Total hysterectomy was successfully performed under general anesthesia without any complications. BPA could be effective for reducing PH in patients with CTEPH undergoing noncardiac surgery.
Sections du résumé
BACKGROUND
BACKGROUND
Chronic thromboembolic pulmonary hypertension (CTEPH) is a disease of obstructive pulmonary artery remodeling as a consequence of major vessel thromboembolism. Balloon pulmonary angioplasty (BPA) is an alternative treatment for patients with inoperable CTEPH. We report a case of CTEPH which improved following preoperative BPA intervention, allowing total hysterectomy to be performed.
CASE PRESENTATION
METHODS
A 48-year-old woman was transferred to our hospital to undergo total hysterectomy for endometrial cancer. She developed pulmonary embolism 7 months ago at another hospital, and a diagnosis of CTEPH was made based on multiple pulmonary emboli and pulmonary hypertension at our institute. Two BPA sessions for seven branches of the bilateral pulmonary arteries were conducted, resulting in a decrease of mean pulmonary artery pressure from 54 to 33 mmHg. Total hysterectomy was successfully performed under general anesthesia without any complications.
CONCLUSIONS
CONCLUSIONS
BPA could be effective for reducing PH in patients with CTEPH undergoing noncardiac surgery.
Identifiants
pubmed: 32681473
doi: 10.1186/s40981-020-00359-y
pii: 10.1186/s40981-020-00359-y
pmc: PMC7367971
doi:
Types de publication
Journal Article
Langues
eng
Pagination
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