Pulmonary endarterectomy: Part I. Pathophysiology, clinical manifestations, and diagnostic evaluation of chronic thromboembolic pulmonary hypertension

Seminars in Cardiothoracic and Vascular Anesthesia

Volumn 18, Issue 4, 2014, Pages 319-330

  Banks, Dalia A ^a   Pretorius, Gert Victor D ^a   Kerr, Kim M ^a   Manecke, Gerard R ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

chronic thromboembolic pulmonary hypertension; diagnostic evaluation of CTEPH; pulmonary artery pressure; pulmonary thromboendarterectomy; right heart failure; transesophageal echocardiography in PTE

Indexed keywords

CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSION; CLINICAL FEATURE; ECHOCARDIOGRAPHY; ENDARTERECTOMY; HUMAN; LUNG SURGERY; MEDICAL HISTORY; PATHOPHYSIOLOGY; PEROPERATIVE ECHOGRAPHY; POSTANESTHESIA CARE; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; PULMONARY THROMBOENDARTERECTOMY; REVIEW; SURGICAL APPROACH; CHRONIC DISEASE; COOPERATION; HYPERTENSION, PULMONARY; MASS SCREENING; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PATIENT MONITORING; PROCEDURES; PULMONARY EMBOLISM;

CHRONIC DISEASE; COOPERATIVE BEHAVIOR; ECHOCARDIOGRAPHY; ENDARTERECTOMY; HUMANS; HYPERTENSION, PULMONARY; MASS SCREENING; MONITORING, INTRAOPERATIVE; PATIENT CARE TEAM; PULMONARY EMBOLISM;

EID: 84908617639     PISSN: 10892532     EISSN: 19405596     Source Type: Journal    
DOI: 10.1177/1089253214536621     Document Type: Review

References (64)

1. McLaughlin VV, Langer A, Tan M, et al. Contemporary trends in the diagnosis and management of pulmonary arterial hypertension: an initiative to close the care gap. Chest. 2013 ; 143: 324-332
2. Simonneau G, Robbins IM, Beghetti M, et al. Updated clinical classification of pulmonary hypertension. J Am Coll Cardiol. 2009 ; 54: S43 - S54
3. Simonneau G, Gatzoulis MA, Adatia I, et al. Updated clinical classification of pulmonary hypertension. J Am Coll Cardiol. 2013 ; 62: D34 - D41
4. Galiè N, Hoeper MM, Humbert M, et al. ESC Committee for Practice Guidelines (CPG). Guidelines for the diagnosis and treatment of pulmonary hypertension: the Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS), endorsed by the International Society of Heart and Lung Transplantation (ISHLT). Eur Heart J Eur Heart J. 2009 2011 ; 30 32: 2493 926-2537
5. Dadfarmay S, Berkowitz R, Kim B, Manchikalapudi RB. Differentiating pulmonary arterial and pulmonary venous hypertension and the implications for therapy. Congest Heart Fail. 2010 ; 16: 287-291
6. Bossone E, D'Andrea A, D'Alto M, et al. Echocardiography in pulmonary arterial hypertension: from diagnosis to prognosis. J Am Soc Echocardiogr. 2013 ; 26: 1-14
7. Klok FA, van Kralingen KW, van Dijk AP, Heyning FH, Vliegen HW, Huisman MV. Prospective cardiopulmonary screening program to detect chronic thromboembolic pulmonary hypertension in patients after acute pulmonary embolism. Haematologica. 2010 ; 95: 970-975
8. Pengo V, Anthonie WA, Lensing MD, et al. Incidence of chronic thromboembolic pulmonary hypertension after pulmonary embolism. N Engl J Med. 2004 ; 350: 2257-2264
9. Fedullo PF, Auger WR, Kerr KM, Rubin LJ. Chronic thromboembolic pulmonary hypertension. N Engl J Med. 2001 ; 345: 1465-1472
10. Wolf M, Boyer-Neumann C, Parent F, et al. Thrombotic risk factors in pulmonary hypertension. Eur Respir J. 2000 ; 15: 395-399
11. Carson JL, Kelley MA, Duff A, et al. The clinical course of pulmonary embolism. N Engl J Med. 1992 ; 326: 1240-1245
12. Goldhaber SZ. Pulmonary embolism thrombolysis: a clarion call for international collaboration. J Am Coll Cardiol. 1992 ; 19: 246-247
13. DeMonaco NA, Dang Q, Kapoor WN, et al. Pulmonary embolism incidence is increasing with use of spiral computed tomography. Am J Med. 2008 ; 121: 611-617
14. Christie JD, Edwards LB, Kucheryavaya AY, et al. The Registry of the International Society for Heart and Lung Transplantation: Twenty-eighth Adult Lung and Heart-Lung Transplantation Report. J Heart Lung Transplant. 2011 ; 30: 1104-1122
15. Bernard J, Yi ES. Pulmonary thromboendarterectomy: a clinicopathologic study of 200 consecutive pulmonary thromboendarterectomy cases in one institution. Hum Pathol. 2007 ; 38: 871-877
16. Morris TA, Marsh JJ, Chiles PG, Auger WR, Fedullo PF, Woods VL. Fibrin derived from patients with chronic thromboembolic pulmonary hypertension is resistant to lysis. Am J Respir Crit Care Med. 2006 ; 173: 1270-1275
17. Bonderman D, Turecek PL, Jakowitsch J, et al. High prevalence of elevated clotting factor VIII in chronic thromboembolic pulmonary hypertension. Thromb Haemost. 2003 ; 90: 372-376
18. Bonderman D, Wilkens H, Wakounig S, et al. Risk factors for chronic thromboembolic pulmonary hypertension. Eur Respir J. 2009 ; 33: 325-331
19. Dibble JH. Organization and canalization in arterial thrombosis. J Pathol Bacteriol. 1958 ; 75: 1-4
20. Yi ES, Kim H, Ahn H, et al. Distribution of obstructive intimal lesions and their cellular phenotypes in chronic pulmonary hypertension. Am J Respir Crit Care Med. 2000 ; 162 (4 pt 1). 1577-1586
21. Auger WR, Kim NH, Kerr KM, Test VJ, Fedullo PF. Chronic thromboembolic pulmonary hypertension. Clin Chest Med. 2007 ; 28: 255-269
22. Jamieson SW, Kapelanski DP, Sakakibara N, et al. Pulmonary endarterectomy: experience and lessons learned in 1,500 cases. Ann Thorac Surg. 2003 ; 76: 1457-1462
23. Auger WR, Moser KM. Pulmonary flow murmurs: a distinctive physical sign found in chronic pulmonary thromboembolic disease. Clin Res. 1989 ; 37: 145A
24. Lang IM. Chronic thromboembolic pulmonary hypertension - not so rare after all. N Engl J Med. 2004 ; 350: 2236-2238
25. Kapitan KS, Buchbinder M, Wagner PD, Moser KM. Mechanisms of hypoxemia in chronic pulmonary hypertension. Am Rev Respir Dis. 1989 ; 139: 1149-1154
26. Moser KM, Daily PO, Peterson K. Thromboendarterectomy for chronic, major-vessel thromboembolic pulmonary hypertension immediate and long-term results in 42 patients. Ann Intern Med. 1987 ; 107: 560
27. Woodruff WW, Hoeck BE, Chitwood WR, Lyerly HK, Sabiston DC, Chen JT. Radiographic findings in pulmonary hypertension from unresolved embolism. AJR Am J Roentgenol. 1985 ; 144: 681-686
28. Morris TA, Auger WR, Ysrael MZ, et al. Parenchymal scarring is associated with restrictive pirometric defects in patients with chronic thromboembolic pulmonary hypertension. Chest. 1996 ; 110: 399-403
29. Bernstein RJ, Ford RL, Clausen JL, Moser KM. Membrane diffusion and capillary blood volume in chronic thromboembolic pulmonary hypertension. Chest. 1996 ; 110: 1430-1436
30. Steenhuis LH, Groen HJ, Koëter GH, van der Mark TW. Diffusion capacity and haemodynamics in primary and chronic thromboembolic pulmonary hypertension. Eur Respir J. 2000 ; 6: 276-281
31. van der Plas MN, Reesink HU, Roos CM, van Steenwijk RP, Kloek JJ, Bresser P. Pulmonary endarterectomy improves dyspnea by the relief of dead space ventilation. Ann Thorac Surg. 2010 ; 89: 347-352
32. Zhai Z, Murphy K, Tighe H, et al. Differences in ventilator inefficiency between pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension. Chest. 2011 ; 140: 1284-1291
33. Dittrich HC, McCann HA, Blanchard DG. Cardiac structure and function in chronic thromboembolic pulmonary hypertension. Am J Card Imaging. 1994 ; 8: 18-27
34. Lisbona R, Kreisman H, Novales-Diaz J, Derbekyan V. Perfusion lung scanning differentiation of primary from thromboembolic pulmonary hypertension. AJR Am J Roentgenol. 1985 ; 144: 27-30
35. Powe JE, Palevsky HI, McCarthy KE, Alavi A. Pulmonary arterial hypertension: value of perfusion scintigraphy. Radiology. 1987 ; 164: 727-730
36. Bergin CJ, Sirlin CB, Hauschildt JP, et al. Chronic thromboembolism: diagnosis with helical CT and MR imaging with angiographic and surgical correlation. Radiology. 1997 ; 204: 695-702
37. Willemink MJ, van Es HW, Koobs L, Morshuis WJ, Snijder RJ, van Heesewijk JP. CT evaluation of chronic thromboembolic pulmonary hypertension. Clin Radiol. 2012 ; 67: 277-285
38. Tunariu N, Gibbs SJ, Win Z, et al. Ventilation-perfusion scintigraphy is more sensitive than multidetector CTPA in detecting chronic thromoboembolic pulmonary disease as a treatable cause of pulmonary hypertension. J Nucl Med. 2007 ; 48: 680-684
39. Moser KM, Fedullo PF, Finkbeiner WE, Golden J. Do patients with primary pulmonary hypertension develop extensive central thrombi?. Circulation. 1995 ; 91: 741-745
40. Russo A, De Luca M, Vigna C, et al. Central pulmonary artery lesions in chronic obstructive pulmonary disease. A transesophageal echocardiographic study. Circulation. 1999 ; 100: 1808-1815
41. Kovacs G, Reiter G, Reiter U, Rienmüller R, Peacock A, Olschewski H. The emerging role of magnetic resonance imaging in the diagnosis and management of pulmonary hypertension. Respiration. 2008 ; 76: 458-470
42. Kreitner KF, Ley S, Kauczor HU, et al. Chronic thromboembolic pulmonary hypertension: pre and postoperative assessment with breath-hold MR imaging techniques. Radiology. 2004 ; 232: 535-543
43. Hoeper MM, Lee SH, Voswinckel R, et al. Complications of right heart catheterization procedures in patients with pulmonary hypertension in experienced centers. J Am Coll Cardiol. 2006 ; 48: 2546-2552
44. Auger WR, Fedullo PF, Moser KM, Buchbinder M, Peterson KL. Chronic major-vessel thromboembolic pulmonary artery obstruction: appearance at angiography. Radiology. 1992 ; 182: 393-398
45. Kim NH, Fesler P, Channick RN, et al. Preoperative partitioning of pulmonary vascular resistance correlates with early outcome after thromboendarterectomy for chronic thromboembolic pulmonary hypertension. Circulation. 2004 ; 109: 18-22
46. Hardziyenka M, Reesink HJ, Bouma BJ, et al. A novel echocardiographic predictor of in-hospital mortality and mid-term haemodynamic improvement after pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension. Eur Heart J. 2007 ; 28: 842-849
47. Thistlethwaite PA, Kemp A, Du L, Madani MM, Jamieson SW. Outcomes of pulmonary endarterectomy for treatment of extreme thromboembolic pulmonary hypertension. J Thoracic Cardiovasc Surg. 2006 ; 131: 307-313
48. Madani MM, Auger WR, Pretorius V, et al. Pulmonary endarterectomy: recent changes in a single institution's experience of more than 2,700 patients. Ann Thorac Surg. 2012 ; 94: 97-103
49. Thistlethwaite PA, Auger WR, Madani MM, Pradhan S, Kapelanski DP, Jamieson SW. Pulmonary thromboendarterectomy combined with other cardiac operations: indications, surgical approach, and outcomes. Ann Thorac Surg. 2001 ; 72: 13-19
50. Kunihara T, Gerdts J, Groesdonk, et al. Predictors of postoperative outcome after pulmonary endarterectomy from a 14-year experience with 279 patients. Eur J Cardiothorac Surg. 2011 ; 40: 154-161
51. Berman M, Hardman G, Sharples L, et al. Pulmonary endarterectomy: outcomes in patients aged >70. Eur J Cardiothoracic Surg. 2012 ; 41: e154 - e160
52. Ryan T, Petrovic O, Dillon JC, Feigenbaum H, Conley MJ, Armstrong WF. An echocardiographic index for separation of right ventricular volume and pressure overload. J Am Coll Cardiol. 1985 ; 5: 918-927
53. Rudski LG, Lai WW, Afilalo J, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2010 ; 23: 685-713
54. Blanchard DG, Malouf PJ, Gurudevan SV, et al. Utility of right ventricular Tei index in noninvasive evaluation of chronic thromboembolic pulmonary hypertension before and after pulmonary thromboendarterctomy. JACC Cardiovasc Imaging. 2009 ; 2: 143
55. Blanchard DG, Dittrich HC. Pericardial adaptation in severe chronic pulmonary hypertension: an intraoperative transesophageal echocardiographic study. Circulation. 1992 ; 85: 1414-1422
56. Mahmud E, Raisinghani A, Keramati S, Auger W, Blanchard DG, DeMaria AN. Dilation of the coronary sinus on echocardiogram: prevalence and significance in patients with chronic pulmonary hypertension. J Am Soc Echocardiogr. 2001 ; 14: 44-49
57. Banks D, Manecke GR, Maus T, Kerr K, Jamieson S Kaplan's Cardiac Anesthesia: The Echo Era. 5 th ed.St Louis, MO: Elsevier Saunders; 2006:755-789. Kaplan JA Reich DL Savino JS, ed. St Louis, MO: Elsevier Saunders ; 755-789.
58. Yock PG, Popp RL. Noninvasive estimation of right ventricular systolic pressure by doppler ultrasound in patients with tricuspid regurgitation. Circulation. 1984 ; 70: 657-662
59. Otto CM Clinical Echocardiography. 2 nd ed.Philadelphia, PA: WB Saunders; 2000:100-131. Otto CM, ed. Philadelphia, PA: WB Saunders ; 100-131.
60. Sadeghi HM, Kimura BJ, Raisinghani A, et al. Does lowering pulmonary arterial pressure eliminate severe functional tricuspid regurgitation?. J Am Coll Cardiol. 2004 ; 44: 126-132
61. Burleson KO, Blanchard DG, Kuvelas T, Dittrich HC. Left ventricular shape deformation and mitral valve prolapse in chronic pulmonary hypertension. Echocardiography. 1994 ; 11: 537-545
62. Gurudevan SV, Malouf PJ, Auger WR, et al. Abnormal left ventricular diastolic filling in chronic thromboembolic pulmonary hypertension: true diastolic dysfunction or left ventricular underfilling?. J Am Coll Cardiol. 2007 ; 49: 1334-1339
63. Mahmud E, Raisinghani A, Hassankhani A, et al. Correlation of left ventricular diastolic filling characteristics with right ventricular overload and pulmonary artery pressure in chronic thromboembolic pulmonary hypertension. J Am Coll Cardiol. 2002 ; 40: 318-324
64. Corsico AG, D'Armini AM, Cerveri I, et al. Long-term outcome after pulmonary endarterectomy. Am J Respir Crit Care Med. 2008 ; 178: 419-424