NDLI: Traitement chirurgical de l'hypertension artérielle pulmonaire.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Fadel, E. Mercier, O. Mussot, S. Fabre, D. Humbert, M. Simonneau, G. Dartevelle, P.
Description	Country affiliation: France Author Affiliation: Fadel E ( Service de chirurgie thoracique, vasculaire et transplantation cardiopulmonaire, Centre chirurgical Marie-Lannelongue, 133 avenue de la Résistance, Le Plessis Robinson, France.)
Abstract	INTRODUCTION: Pulmonary arterial hypertension (PAH) is a severe disease that has undergone a dramatic improvement in therapeutic management over the past 20 years. Among the new therapeutic options, surgery has the potential to dramatically improve or, in some cases, cure PAH. BACKGROUND: Surgical treatment of PAH includes pulmonary endarterectomy which can cure PAH when the cause is obstruction of the pulmonary arteries by fibrous tissue resulting from pulmonary embolism, by tumours as angiosarcomas, and echinococcus cysts. Transplantation is required in end-stage PAH after failure of medical treatment. Atrial septostomy and Potts procedure are palliative surgical procedures that can delay transplantation. VIEWPOINT: Extracorporeal cardiopulmonary support is the latest surgical improvement, not only as a bridge to transplantation in end-stage PAH but also during recovery after transplantation or pulmonary endarterectomy. CONCLUSIONS: Surgery is part of the therapeutic management of PAH. Dialogue between physicians and surgeons is a prerequisite for any reasoned therapeutic decision.
File Format	HTM / HTML
ISSN	07618425
Issue Number	2
Volume Number	28
e-ISSN	17762588
Journal	Revue des Maladies Respiratoires
Language	French
Publisher	Elsevier
Publisher Date	2011-02-01
Publisher Place	France
Access Restriction	Subscribed
Subject Keyword	Discipline Pulmonary Medicine Hypertension, Pulmonary Endarterectomy Extracorporeal Circulation Familial Primary Pulmonary Hypertension Heart Transplantation Humans Surgery Lung Transplantation Patient Selection Postoperative Care English Abstract Journal Article Review
Alternative Title	Surgical treatment of pulmonary arterial hypertension
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine

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