Table 1.
Perioperative details of patients undergoing beating heart pulmonary thromboendarterectomy.
| PREOPERATIVE FINDINGS | |||||
|---|---|---|---|---|---|
| Patient 1 | Patient 2 | Patient 3 | Patient 4 | Median | |
| Age (years) | 23 | 24 | 46 | 47 | 35 |
| Sex | Male | Male | Female | Male | |
| Preoperative ICU admission | - | - | - | - | |
| DVT | - | - | - | - | |
| NYHA class | III | IV | III | IV | |
| 2D echo | |||||
| EF (%) | 60 | 60 | 57 | 60 | 60% |
| PASP (mmHg) | 72 | 68 | 98 | 120 | 85 mmHg |
| TR | Severe | Moderate | Severe | Moderate | |
| TAPSE (mm) | 15 | 18 | 13 | 13 | 14 mm |
| Preoperative CTPA | |||||
| RPA, mm | 16 | *29 | *21 | 35 | |
| LPA, mm | *19 | *26 | *23 | *33 | |
| MPA, mm | *24 | 40 | 34 | *39 | |
| INTRAOPERATIVE FINDINGS | |||||
| Jamieson class | II | I | II | II (LPA only) | |
| UCSD surgical class | I | I | I | IC left | |
| CPB time (minutes) | 108 | 117 | 135 | 161 | 126 |
| Minimum temp (°C) | 28 | 33.9 | 33.7 | 33 | 33.35 |
| SpO2 (%) | |||||
| Preoperative | 89 | 79 | 88 | 93 | 88.5 |
| Postoperative | 99 | 99 | 100 | 99 | 99 |
| CVP | |||||
| Preoperative | 25 | 22 | 19 | 26 | 23.5 |
| Postoperative | 13 | 12 | 12 | 11 | 12 |
| ABP (systolic/diastolic/mean in mmHg) | |||||
| Preoperative | 98/60/73 | 78/40/52 | 74/49/57 | 145/110/122 | MAP 65 |
| Postoperative | 118/82/94 | 78/51/60 | 116/69/85 | 131/51/78 | MAP 81.5 |
| PAP (systolic/diastolic/mean in mmHg) | |||||
| Preoperative | 65/34/44 | 51/48/49 | 24/15/18 | 104/49/67 | mPAP 46.5 |
| Postoperative | 35/20/25 | 27/20/22 | 28/17/21 | 40/26/31 | mPAP 23.5 |
| POSTOPERATIVE FINDINGS | |||||
| Re-exploration | No | No | No | Yes | |
| Ventilation (hours) | 24 | 15 | 12 | 96 | 19.5 |
| ICU stay (days) | 4 | 3 | 11 | 14 | 7.5 |
| Hospital stay (days) | 23 | 29 | 22 | 40 | 26 |
| NYHA class | I | I | I | I | |
| 2D echo | |||||
| EF (%) | 58 | 60 | 60 | 65 | 60% |
| PASP (mmHg) | 30 | 25 | 40 | 36 | 33 mmHg |
| TR | Trace | Trace | Moderate | Mild | |
| TAPSE (mm) | 20 | 16 | 15 | 16 | 16 mm |
| Postoperative CTPA | |||||
| RPA, mm | 18 | 19 | 17 | 24 | |
| LPA, mm | 22 | 10 | 20 | 18 | |
| MPA, mm | 28 | 35 | 33 | 34 | |
| Follow-up (months) | 15 | 14 | 4 | 2 | 9 |
Thrombus 2D echo=2D echocardiography; ABP=arterial blood pressure; CPB=cardiopulmonary bypass; CTPA=computed tomography pulmonary angiogram; CVP=central venous pressure; DVT=deep venous thrombosis; EF=ejection fraction; ICU=intensive care unit; LPA=left pulmonary artery; MAP=mean arterial pressure (in mmHg); MPA=main pulmonary artery; mPAP=mean pulmonary artery pressure (in mmHg); NYHA=New York Heart Association Functional Classification; PAP=pulmonary artery pressure (by needle manometry); PASP=pulmonary artery systolic pressure; RPA=right pulmonary artery; SpO2=oxygen saturation; TAPSE=tricuspid annular plane systolic excursion; TR=tricuspid regurgitation; UCSD=University of California San Diego