Prognosis Evaluation of Pulmonary Endarterectomy for Chronic Thromboembolic Pulmonary Hypertension
Aissa S*, Mezghani S, Benzarti W, Ben Jazia R, Ben Salem H, Gargouri I, Hayouni A, Garrouche A, Benzarti M and Abdelghani A
Department of Pneumology, Farhat Hached Hospital, Sousse, Tunisia
- *Corresponding Author:
- Aissa Sana
Assistant Professor of Pneumology
Department of Pneumology
Farhat Hached Hospital, Sousse, Tunisia
E-mail: [email protected]
Received date: February 25, 2016; Accepted date: March 15, 2016; Published date: March 18, 2016
Citation: Aissa S, Mezghani S, Benzarti W, Ben Jazia R, Ben Salem H, et al., (2016) Prognosis Evaluation of Pulmonary Endarterectomy for Chronic Thromboembolic Pulmonary Hypertension. J Pulm Respir Med 6:328. doi:10.4172/2161-105X.1000328
Copyright: © 2016 Aissa S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Chronic thromboembolic pulmonary hypertension (CTEPH) is one of the leading causes of severe pulmonary hypertension (PH) curable by pulmonary endarterectomy (PEA) necessarily made in the reference centers.
We report the case of a 30-year-old woman with a history of antiphospholipid syndrome diagnosed after a thromboembolic event responsible of her first pregnancy abortion. Two years after this event, she presented a massive and bilateral pulmonary embolism after the delivery of his second pregnancy. She was hospitalized in the intensive care unit and she received thrombolytic treatment relayed by vitamin K antagonists. One year later, she developed progressive dyspnoea (class III NYHA) and hemoptysis.
Ultrasonic cardiography showed severe pulmonary hypertension (Systolic arterial pulmonary pressure at 120 mmHg) and at the right cardiac catheterization (mean arterial pulmonary pressure at 90 mmHg). Computed tomography pulmonary angiogram and ventilation-perfusion lung scan concluded on CTEPH. Blood gases showed a moderate hypoxemia (58 mmHg); conventional treatment was prescribed (oxygen, vitamine K antagonists and diuretics). The patient was referred to the reference surgical center in Paris and a pulmonary endarterectomy was done. After the surgery, the patient reports an improvement of the class of dsypnea and of the sub-maximal aerobic capacity. The systolic pulmonary pressure decreased at 50 mmHg in the ultrasonic cardiography. The patient actually has a better quality of life and rapidly resumed work.