Heart 1998;79:118-120 ( February )

Editorial

Pulmonary thromboendarterectomy

The first 150 words of the full text of this article appear below.

Pulmonary thromboendarterectomy (PTE) can provide a surgical cure for the pulmonary hypertension of chronic pulmonary embolism. This form of pulmonary hypertension often goes unrecognised, yet it is progressive and carries a high mortality. Many physicians are unaware that a corrective operation exists, and rely instead on referral for transplantation or merely palliative medical treatment. PTE is technically demanding for the surgeon, and requires careful dissection of the pulmonary artery planes and the use of circulatory arrest. Excellent short and long term results can be achieved, however, and increased awareness of both the prevalence of this condition and the possibility of a surgical cure should avail more patients of the opportunity for relief from this debilitating and often fatal disease.

Acute pulmonary embolism has been said to result in more than 600 000 symptomatic episodes in the United States each year, and to be the principal cause of death in 200 000 patients.¹ . . . [Full text of this article]

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