Anesthesia And Organ Protection Of Pulmonary Endarterectomy

[Objective]The objective was to retrospectively analyze the anesthesia and organ protection strategy during pulmonary endarterectomy in patients with chronic thromboembolic pulmonary hypertension.[Methods]We reviewed all patients undergoing pulmonary endarterectomy in our hospital from January 1,2016 to December 31,2016.All clinical data were recorded in preoperative,intraoperative and postoperative period to analyze the method of anesthesia and organ protection.[Results]A total of 27 patients were enrolled.The mean pulmonary arterial pressure reduced from preoperative(35 ± 14.8)mmHg to(28 ± 11.6)mmHg at the end of the operation.There was 0 case of pulmonary edema,11 cases of pulmonary infections,2 cases of pulmonary hypertensions,2 cases of neurological complications,and no mortality after operation.[Conclusions]Anesthesia management process should focus on hemodynamic management,lung,brain,blood and other organs protection.