Author/Authors :
Omrani, Gholamreza iran university of medical sciences - Shaheed Rajaie Cardiovascular Medical Center - Department of Cardiac Surgery and Cardiology, تهران, ايران , Baharestani, Bahador iran university of medical sciences - Shaheed Rajaie Cardiovascular Medical Center - Department of Cardiac Surgery and Cardiology, تهران, ايران , Azarnik, Hossein iran university of medical sciences - Shaheed Rajaie Cardiovascular Medical Center - Department of Cardiac Surgery and Cardiology, تهران, ايران , Sadeghi, Hassanollah iran university of medical sciences - Shaheed Rajaie Cardiovascular Medical Center - Department of Cardiac Surgery and Cardiology, تهران, ايران , Baghaii Tehrani, Ramin iran university of medical sciences - Shaheed Rajaie Cardiovascular Medical Center - Department of Cardiac Surgery and Cardiology, تهران, ايران , Gholampour, Maziar iran university of medical sciences - Shaheed Rajaie Cardiovascular Medical Center - Department of Cardiac Surgery and Cardiology, تهران, ايران , Sadeghpour Tabaee, Ali iran university of medical sciences - Shaheed Rajaie Cardiovascular Medical Center - Department of Cardiac Surgery and Cardiology, تهران, ايران
Abstract :
Chronic pulmonary thromboembolic disease is entrapment of thrombus in pulmonary arteries froma single episode or repeated embolic episodes that subsequently organize, or thrombi that developinside the pulmonary arteries into firm, fibrous tissue that becomes incorporated into the vessel We operated 7 patients with end stage chronic pulmonary thromboembolism over a two year period at our center. Four patients had good function class after operation on follow up at 6 to 12 months and we administered warfarin prophylaxis (with international normalized ratio, INR, of 3) for them. Three patients died in hospital postoperatively. We used extracorporeal membrane oxygenation(ECMO) for one of them but it failed on the third postoperative day
