Özet:

If cases of pulmonary embolism are not treated, sudden death, an acute life-threatening condition or chronic tromboembolic pulmonary hypertension develops due to the organization of thrombuses in the pulmonary vein wall. This study was aimed at sharing our experiences with pulmonary tromboendarterectomy surgery, which has a high mortality, which has not been performed much but in certain centers around the world. Methods: Between February 2007 and July 2018 a total of 13 patients who were operated with acute lung embolism and chronic tromboembolic pulmonary hypertension in our clinic were included in the study. Nine of these patients were taken to an emergency 4 as selectively. In the conditions of open heart surgery, the pulmonary tromboendarterectomy surgery was applied to patients. Patients’ feedback was obtained from the hospital’s software system. Results: 6 of the patients with pulmonary tromboendarterectomy were female and 7 male. The average age was 58 (38-71) As a risk factor, there was a history of deep venous thrombosis in 7 patients, a recent surgery in 3 patients, a malignity in 2 patients, a smoking in 5 patients, a stroke in 1 patient and a cerebrovascular incident in 1 patient. Four cases were exitus in the postoperative interval of 0-26 days. Three of them were patients with acute pulmonary embolism, and one with chronic tromboembolic pulmonary hypertension. Results and Comments: Patients with pulmonary tromboendarterectomy observed a significant decrease in premature pulmonary arterial pressure. Patients diagnosed with chronic tromboembolic pulmonary hypertension should be directed in the early period to the surgical centers for long-term arteriopathy development, pulmonary tromboendarterectomy surgery. It is important that patients with acute pulmonary embolism are diagnosed with a timing for surgery. The mortality rate of patients undergoing surgery in the late and hypotensive shock table is high.

Anahtar Kelimeler: