Does pulmonary hypertension need surgery

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Now, because the medical level has become more high-end, many patients hope to be treated by surgery once they have a disease. They always think that this kind of conservative treatment has good effect and alleviates their pain. Let's share with you the common question of whether pulmonary hypertension needs surgery!

Does pulmonary hypertension need surgery

First, pulmonary hypertension refers to a hemodynamic and pathophysiological state in which the pulmonary artery pressure rises above a certain threshold, which can lead to right heart failure. It can be an independent disease, a complication, or a syndrome. The hemodynamic diagnostic criteria were: mean pulmonary artery pressure ≥ 25 mmHg detected by right heart catheterization at sea level. Pulmonary hypertension is a common and frequently occurring disease with high morbidity and mortality.

Second: it can also be treated with drugs, including alisentan, precautions, risk of fetal malformation, strict contraception during medication, and forbidden for pregnant and lactating women. Liver function should be checked before medication and once a month during medication. Side effects *: fluid retention, heart failure, hypersensitivity, anemia, etc.

Third: pulmonary thromboendarterectomy: it is the first choice for the treatment of chronic thromboembolic pulmonary hypertension. The indications are cardiac function grade III and IV, mean pulmonary artery pressure above 30mmhg, pulmonary vascular resistance > 300dyn · s / cm, thrombus located above the pulmonary segment. Lung transplantation is recommended for patients with pulmonary hypertension who do not respond to drug therapy.

matters needing attention

Many doctors suggest that patients with pulmonary hypertension take drugs first, so that the condition will also have a certain control. The physical and mental harm to patients is also minimal. Surgical treatment is recommended only when it is particularly serious. After all, surgical treatment is risky.