-transparent.png){kind=logo}
Medical therapy for chronic pulmonary thromboembolism is limited, and surgical treatment has become more frequent recently. We have performed pulmonary thromboendarterectomy on a patient with chronic pulmonary thromboembolism accompanied by protein C deficiency. The patient was a woman aged 68 years who had protein C deficiency. The preoperative condition was New York Heart Association functional class IV. Hypoxemia, marked pulmonary hypertension, and low cardiac output were observed. After a median sternotomy, moderate hypothermia was induced using a cardiopulmonary bypass, and thromboendarterectomy in the pulmonary artery was performed. The arterial blood oxygen concentration improved, and the mean pulmonary pressure decreased. The cardiac output also increased, and New York Heart Association functional class improved to I. Pulmonary thromboendarterectomy under cardiopulmonary bypass was effective for chronic pulmonary thromboembolism accompanied by protein C deficiency.
N Taniyasu, and
K Akiyama, and
A Takazawa, and
J Hirota
February 2006,
The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi,
N Taniyasu, and
K Akiyama, and
A Takazawa, and
J Hirota
January 2014,
Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia,
N Taniyasu, and
K Akiyama, and
A Takazawa, and
J Hirota
January 2006,
Indian heart journal,
N Taniyasu, and
K Akiyama, and
A Takazawa, and
J Hirota
July 1998,
Masui. The Japanese journal of anesthesiology,
N Taniyasu, and
K Akiyama, and
A Takazawa, and
J Hirota
October 1990,
Herz,
N Taniyasu, and
K Akiyama, and
A Takazawa, and
J Hirota
June 1989,
Herz,
N Taniyasu, and
K Akiyama, and
A Takazawa, and
J Hirota
March 2005,
Nihon Geka Gakkai zasshi,
N Taniyasu, and
K Akiyama, and
A Takazawa, and
J Hirota
June 1992,
The American review of respiratory disease,
N Taniyasu, and
K Akiyama, and
A Takazawa, and
J Hirota
May 1994,
Nihon Kyobu Shikkan Gakkai zasshi,
N Taniyasu, and
K Akiyama, and
A Takazawa, and
J Hirota
December 1991,
British heart journal,
