-transparent.png){kind=logo}
Thromboendarterectomy is the treatment of choice for chronic large vessel thromboembolic pulmonary hypertension. To identify the mechanisms responsible for the improvement in gas exchange following thromboendarterectomy, we studied nine patients with chronic thromboembolic pulmonary hypertension before and eight to 18 months after surgery using the multiple inert gas elimination technique. Preoperatively, all subjects had pulmonary hypertension and were hypoxemic or had an elevated P(A-a)O2. The VA/Q distribution was widened with an elevated VD/VT and a low cardiac index. After thromboendarterectomy, significant improvement had occurred. The VA/Q distribution had narrowed to near normal, and the cardiac index increased. It was concluded that thromboendarterectomy improved gas exchange both by improving VA/Q relationships and by increasing cardiac output.
K S Kapitan, and
J L Clausen, and
K M Moser
September 2005,
Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih,
K S Kapitan, and
J L Clausen, and
K M Moser
January 1981,
Bulletin europeen de physiopathologie respiratoire,
K S Kapitan, and
J L Clausen, and
K M Moser
July 2000,
Chest,
K S Kapitan, and
J L Clausen, and
K M Moser
February 1991,
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai,
K S Kapitan, and
J L Clausen, and
K M Moser
February 2006,
The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi,
K S Kapitan, and
J L Clausen, and
K M Moser
February 1997,
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai,
K S Kapitan, and
J L Clausen, and
K M Moser
May 1988,
Nihon Kyobu Shikkan Gakkai zasshi,
K S Kapitan, and
J L Clausen, and
K M Moser
September 1984,
Clinics in chest medicine,
K S Kapitan, and
J L Clausen, and
K M Moser
April 1982,
Chest,
K S Kapitan, and
J L Clausen, and
K M Moser
September 1997,
The European respiratory journal,
