TITLE:
Utility of Intraoperative Transesophageal Echocardiography in Pulmonary Thromboendarterectomy
AUTHORS:
Katherine Chaparro, Orozco David Mauricio, Abello Mauricio, Osorio Javier Enrique, Sarquis Tonny Alberto, Barrero David, Hincapie Myriam
KEYWORDS:
Chronic Thromboembolic Pulmonary Hypertension; Pulmonary Thromboendarterectomy; Intraoperative Echocardiography
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.4 No.3,
February
24,
2014
ABSTRACT: Chronic thromboembolic pulmonary hypertension is one
of the few forms of pulmonary hypertension that can be cured surgically, being the pulmonary
trhomboendarterectomy (PTE) the therapeutic approach of choice, with survival
as high as 75% to 90% at 5 years. Our case report focuses on the intraoperative
use on the transesophageal echocardiography, which has proven to be of outmost
utility in PTE surgery. Two cases of pulmonary thromboendarterectomy are
described, in which transesophageal echocardiography was the key factor in the
intraoperative management, indicating the initiation time of nitric oxide in
case number one and contraindicating the advancement of the pulmonary artery catheter in case number two, due to a
mobile thrombus located in the right ventricular outflow tract.