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LETTER TO EDITOR Table of Contents   
Year : 2010  |  Volume : 13  |  Issue : 3  |  Page : 264
Post-operative management of endarterectomy


Wiwanitkit House, Bangkhae, Bangkok - 10160, Thailand

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Date of Web Publication6-Sep-2010
 

How to cite this article:
Wiwanitkit V. Post-operative management of endarterectomy. Ann Card Anaesth 2010;13:264

How to cite this URL:
Wiwanitkit V. Post-operative management of endarterectomy. Ann Card Anaesth [serial online] 2010 [cited 2019 Oct 16];13:264. Available from: http://www.annals.in/text.asp?2010/13/3/264/69063


The Editor,

I read the recent report on post-operative management of endarterectomy with great interest. [1] Iyengar et al, concluded that "Pulmonary endarterectomy is an effective and potentially curative surgical treatment for patients with severe chronic thromboembolic pulmonary hypertension." [1] Of interest, this alternative approach for the cases unfit for pulmonary thrombectomy might be a good one. However, there are also several factors determining the outcome of chronic thromboembolic pulmonary hypertension, including splenectomy, permanent central intravenous lines and certain inflammatory disorders. [2] .In addition, in the report by Iyengar et al, there are some points of concern. First, the nature of the retrospective study might pose some bias and the numbers of subjects might be a major limitation of the generalization of the results. Additionally, the novel pharmacotherapy that is recommended for chronic thromboembolic pulmonary hypertension, Bosentan, should also be mentioned. [3] The comparison between this medical approach and pulmonary endarterectomy can give useful clinical information.

 
   References Top

1.Narayana Iyengar RM, Hegde D, Gupta R, Patil L. Postoperative management of pulmonary endarterectomy and outcome. Ann Card Anaesth 2010;13:22-7.  Back to cited text no. 1      
2.Bonderman D, Skoro-Sajer N, Jakowitsch J, Adlbrecht C, Dunkler D, et al. Predictors of outcome in chronic thromboembolic pulmonary hypertension. Circulation 2007;115:2153-8.   Back to cited text no. 2  [PUBMED]  [FULLTEXT]  
3.Raja SG, Dreyfus GD. Current status of bosentan for treatment of pulmonary hypertension. Ann Card Anaesth 2008;11:6-14.  Back to cited text no. 3  [PUBMED]  Medknow Journal  

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Correspondence Address:
Viroj Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok - 10160
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.69063

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