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| Year : 2010
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: 13 | Issue : 3 | Page
: 264 |
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| Post-operative management of endarterectomy |
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Viroj Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok - 10160, Thailand
Click here for correspondence address and
email
| Date of Web Publication | 6-Sep-2010 |
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How to cite this article:
Wiwanitkit V. Post-operative management of endarterectomy. Ann Card Anaesth 2010;13:264 |
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 | |  |
| 1. | Narayana Iyengar RM, Hegde D, Gupta R, Patil L. Postoperative management of pulmonary endarterectomy and outcome. Ann Card Anaesth 2010;13:22-7.  |
| 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. [PUBMED] [FULLTEXT] |
| 3. | Raja SG, Dreyfus GD. Current status of bosentan for treatment of pulmonary hypertension. Ann Card Anaesth 2008;11:6-14. [PUBMED]  |
Correspondence Address:
Viroj Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok - 10160
Thailand
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-9784.69063
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