A novel technique for pulmonary endarterectomy in the presence of patent coronary artery bypass grafts

Balakrishnan Mahesh, Nnamdi Nwaejike, John J. Dunning, David P. Jenkins

Research output: Contribution to journalArticlepeer-review

Abstract

Pulmonary endarterectomy (PEA) is the definitive surgical treatment for chronic thromboembolic pulmonary hypertension, with excellent short- and long-term results. PEA following previous coronary artery bypass graft surgery carries a risk of damage to patent grafts, as well as the risk of inadequate myocardial protection, especially when a patent pedicled internal thoracic artery graft is present. We report a technique where PEA may be safely and successfully accomplished ensuring, adequate clearance of bilateral pulmonary thromboembolic disease via a right pulmonary arteriotomy, avoiding the patent bypass grafts overlying the pulmonary trunk, while ensuring adequate myocardial protection.

Original languageEnglish (US)
Article numberezr333
Pages (from-to)175-177
Number of pages3
JournalEuropean Journal of Cardio-thoracic Surgery
Volume42
Issue number1
DOIs
StatePublished - Jul 2012

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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