TY - JOUR T1 - Pulmonary Thromboendarterectomy in 106 Patients With Chronic Thromboembolic Pulmonary Hypertension JO - Archivos de Bronconeumología T2 - AU - López Gude,María Jesús AU - Pérez de la Sota,Enrique AU - Forteza Gil,Alberto AU - Centeno Rodríguez,Jorge AU - Eixerés,Andrea AU - Velázquez,María Teresa AU - Sánchez Nistal,María Antonia AU - Pérez Vela,José Luis AU - Ruiz Cano,María José AU - Gómez Sanchez,Miguel Ángel AU - Escribano Subías,Pilar AU - Cortina Romero,José María SN - 15792129 M3 - 10.1016/j.arbr.2015.05.014 DO - 10.1016/j.arbr.2015.05.014 UR - https://archbronconeumol.org/en-pulmonary-thromboendarterectomy-in-106-patients-articulo-S1579212915001512 AB - IntroductionPulmonary thromboendarterectomy is the treatment of choice in chronic thromboembolic pulmonary hypertension. We report our experience with this technique. MethodsBetween February 1996 and June 2014, we performed 106 pulmonary thromboendarterectomies. Patient population, morbidity and mortality and the long-term results of this technique (survival, functional improvement and resolution of pulmonary hypertension) are described. ResultsSubjects’ mean age was 53±14 years. A total of 89% were WHO functional class III–IV, presurgery mean pulmonary pressure was 49±13mmHg and mean pulmonary vascular resistance was 831±364dynesscm−5. In-hospital mortality was 6.6%. The most important post-operative morbidity was reperfusion pulmonary injury, in 20% of patients; this was an independent risk factor (P=.015) for hospital mortality. With a 31-month median follow-up (interquartile range: 50), 3- and 5-year survival was 90% and 84% respectively. At 1 year, 91% were WHO functional class I–II; mean pulmonary pressure (27±11mmHg) and pulmonary vascular resistance (275±218dynesscm−5) were significantly lower (P<.05) than before the intervention. Although residual pulmonary hypertension was detected in 14 patients, their survival at 3 and 5 years was 91% and 73%, respectively. ConclusionsPulmonary thromboendarterectomy offers excellent results in chronic thromboembolic pulmonary hypertension. Long-term survival is good, functional capacity improves, and pulmonary hypertension is resolved in most patients. ER -