Pulmonary EndarterectomyTreatment

Pulmonary Endarterectomy Surgeons India – By Experienced SurgeonsPulmonary Endarterectomy In India Pulmonary Endarterectomy (PEA, also known as PTE) is a surgical operation in which the blood vessels of the lungs are cleared of clot and scar material. Although this sounds simple, it is actually technically very difficult to get access to the arteries of the lungs, and the procedure itself is a major undertaking. For this reason it is necessary to ensure that patients who might potentially benefit from this operation are thoroughly evaluated.Not everyone with CTEPH will be suitable for this operation, and a number of additional investigations must be performed in order to assess the appropriateness of surgery and the level of risk involved. However in a large proportion of patients who undergo this operation, their level of activity, quality of life and life expectancy are significantly improved and pulmonary endarterectomy surgery can be thought of as a cure for most patients.

What is Chronic Thromboembolic Pulmonary Hypertension (CTEPH) ? CTEPH is a form of pulmonary hypertension that occurs as the result of blood clots blocking off the arteries of the lungs. Whilst most of these blood clots originate in the veins, many people with this condition may be unaware that these clots are forming. Over time, the blood clots build up in the blood vessels of the lungs which become permanently scarred with narrowing and decreased blood flow finally resulting in increased pressure and resistance to blood flow in the lungs leading to pulmonary hypertension and right heart failure...Who is a Candidate for Pulmonary Thromboendarterectomy (PTE) ? Pulmonary thromboendarterectomy is the definitive treatment for chronic pulmonary hypertension as the result of thromboembolic disease. Although pulmonary embolism (PE) is one of the more common cardiovascular diseases affecting western countries, pulmonary thromboendarteretomy remains an uncommon procedure, mainly because this form of chronic pulmonary hypertension remains an underdiagnosed condition...

There are three major reasons for considering PTE : -Hemodynamic : –to prevent or ameliorate right ventricular compromise caused by pulmonary hypertension.Respiratory : – to restore blood flow to ventilated but unperfused lung regions.Prophylactic : – to prevent progressive right ventricular dysfunction or retrograde extension of the obstruction, which might result in further cardiorespiratory deterioration or death, and to prevent secondary arteriopathic changes in the remaining patent vessels. The prevention of secondary arteriopathic changes is an important indication for surgery.

How is PTE Performed in India? PTE is an eight-hour procedure, performed under general anesthesia, in which the chest is opened and the patient is attached to a heart-lung bypass machine. The patient’s body is also cooled to about 68 degrees Fahrenheit, because this temperature reduces the body's need for oxygen by 95 percent. PTE is the surgical procedure to remove life-threatening blood clots—emboli—from pulmonary arteries to restore blood flow to the lungs. The surgery can provide a cure for pulmonary hypertension due to chronic pulmonary thromboembolic disease by restoring normal blood pressure in the pulmonary artery and removing the chance of right-heart failure...

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