Pulmonary endarterectomy in a Colombian cardiovascular center: experience and main outcomes

  • Gustavo Adolfo Cruz-Suárez Universidad Pontificia Bolivariana, Medellín, Colombia
  • Jorge Alberto Castro-Pérez Clínica Cardio VID, Medellín, Colombia.
  • Juan David Echavarría-Vásquez Department of Anesthesiology and Resuscitation, Universidad de Antioquia, Medellín, Colombia.
  • Isabel Cristina Bolivar-Giraldo Department of Anesthesiology, Universidad Pontificia Bolivariana, Medellín, Colombia.
  • Sara Echeverri-Saldarriaga Department of Anesthesiology, Universidad CES, Medellín, Colombia.
  • Fredy Ariza Fundación Valle del Lili, Universidades CES, ICESI and del Valle, Cali, Colombia.
Keywords: Hypertension Pulmonary, Endarterectomy, Pulmonary Embolism, Anesthesia, Peer review

Abstract

Introduction:

Chronic thromboembolic disease is a major cause of severe pulmonary hypertension and disabling right ventricular dysfunction. Pulmonary endarterectomy (PE) is currently considered a therapeutic option that can cure these patients.

Objective:

The aim of this study was to review the experience at a Colombian PE cardiovascular center, the outcomes and most frequent complications.

Materials and methods:

A retrospective review of PEs performed from 2009 through 2017 was conducted, which form an e-database developed for cardiovascular surgery in 2009. All intra and postoperative events were recorded, as well as the major outcomes, including mortality.

Results:

Twenty-one patients (12 females and 9 males) were identified, with a mean age of 48 years [interquartile range (IQR): 30-70]; 76.2% had a New York Heart Association (NYHA) functional class category III or IV, and the mean intensive care unit stay was 179hours (IQR 27-528). The most frequent perioperative complications were cardiac (right ventricular dysfunction, and biventricular dysfunction) and pulmonary (pulmonary edema and severe dysfunction disorders), with an overall mortality of 9.5%.

Conclusion:

Although the reported survival in this paper is similar to recently published trials, our work suggests that it is appropriate to foresee the possibility of postoperative cardiopulmonary support in these patients and to have a multidisciplinary team available, trained in caring for these events that have a negative impact on outcomes and survival of this surgical population.

References

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How to Cite
1.
Cruz-Suárez GA, Castro-Pérez JA, Echavarría-Vásquez JD, Bolivar-Giraldo IC, Echeverri-Saldarriaga S, Ariza F. Pulmonary endarterectomy in a Colombian cardiovascular center: experience and main outcomes. Colomb. J. Anesthesiol. [Internet]. 2018Apr.1 [cited 2021Feb.28];46(2):98-102. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/180

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Published
2018-04-01
How to Cite
1.
Cruz-Suárez GA, Castro-Pérez JA, Echavarría-Vásquez JD, Bolivar-Giraldo IC, Echeverri-Saldarriaga S, Ariza F. Pulmonary endarterectomy in a Colombian cardiovascular center: experience and main outcomes. Colomb. J. Anesthesiol. [Internet]. 2018Apr.1 [cited 2021Feb.28];46(2):98-102. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/180
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Original

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