Complications of Pulmonary Thromboendarterectomy: Airway Hemorrhage and its Consequences

[摘要] Airway hemorrhage is a potentially life-threatening complication that can occur after Pulmonary Thromboendarterectomy (PTE), a surgicalprocedure performed to treat Chronic Thromboembolic Pulmonary Hypertension (CTEPH). The study was a retrospective analysis of datafrom 185 consecutive patients who underwent PTE at a single institution between January 2008 and May 2019. Of these patients, 25(13.5%) experienced postoperative airway hemorrhage. The researchers collected data on various preoperative, intraoperative, andpostoperative factors and compared them between patients with and without airway hemorrhage. The results showed that patients whoexperienced airway hemorrhage were more likely to have a history of hemoptysis before the surgery, as well as a higher preoperative MeanPulmonary Artery Pressure (mPAP), a measure of the pressure in the pulmonary artery. In addition, patients who had longercardiopulmonary bypass times and longer durations of mechanical ventilation were also at higher risk of airway hemorrhage.

[学科分类] 药理学