Author/Authors :
Seong, Gil Myeong Departments of Pulmonary and Critical Care Medicine - University of Ulsan College of Medicine - Seoul, Korea , Hong, Sang-Bum Departments of Pulmonary and Critical Care Medicine - University of Ulsan College of Medicine - Seoul, Korea , Huh, Jin Won Departments of Pulmonary and Critical Care Medicine - University of Ulsan College of Medicine - Seoul, Korea , Lim, Chae-Man Departments of Pulmonary and Critical Care Medicine - University of Ulsan College of Medicine - Seoul, Korea , Koh, Younsuck Departments of Pulmonary and Critical Care Medicine - University of Ulsan College of Medicine - Seoul, Korea , Lee, Jae Won Departments of Thoracic and Cardiovascular Surgery - University of Ulsan College of Medicine - Seoul, Korea , Jung, Sung-Ho Departments of Thoracic and Cardiovascular Surgery - University of Ulsan College of Medicine - Seoul, Korea , Park, Duck-Woo Department of Cardiology - Asan Medical Center - University of Ulsan College of Medicine - Seoul, Korea , Lee, Jae Seung Departments of Pulmonary and Critical Care Medicine - University of Ulsan College of Medicine - Seoul, Korea
Abstract :
Chronic thromboembolic pulmonary hypertension is potentially curable with a pulmonary
endarterectomy. However, approximately 20% of patients have persistent pulmonary hypertension
after pulmonary endarterectomy, which is a major risk factor for postoperative death. Here, we
report a 34-year-old woman who suffered persistent severe pulmonary hypertension following
a successful pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension.
Extracorporeal membrane oxygenation (ECMO) and atrial septostomy were successfully performed
as rescue treatments, and active rehabilitation during ECMO was prescribed to facilitate recovery.
Keywords :
endarterectomy , extracorporeal membrane oxygenation , pulmonary hypertension , rehabilitation
