ArticleAnnals of thoracic surgery short reports2025
Minimally Invasive Pulmonary Thromboendarterectomy by a J-Shaped Upper Hemisternotomy.
Article in Annals of thoracic surgery short reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
Chronic thromboembolic pulmonary hypertension is a rare but serious condition caused by pulmonary artery thrombi. Pulmonary thromboendarterectomy through median sternotomy is the "gold standard," but minimally invasive approaches are emerging. We describe a 22-year-old female athlete with May-Thurner syndrome and factor V Leiden and prothrombin mutations in whom pulmonary embolism developed. After failed thrombectomy, she underwent pulmonary thromboendarterectomy by J-shaped upper hemisternotomy. Circulatory arrest time was 24 minutes; cardiopulmonary bypass time, 131 minutes; and cross-clamp time, 51 minutes. This technique is feasible and safe, achieving comparable outcomes to full sternotomy while improving cosmesis, making it an appealing option for selected patients.
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