{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T10:54:30Z","timestamp":1783594470504,"version":"3.55.0"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003The aim of this study was to analyze the results of pulmonary endarterectomy (PEA) performed simultaneously with additional cardiac procedures in a single tertiary-level center.<\/jats:p><jats:p>\n          Methods\u2003Data of patients who underwent PEA with additional cardiac procedures for chronic thromboembolic pulmonary hypertension (CTEPH) in our clinic were retrospectively reviewed using patient records.<\/jats:p><jats:p>\n          Results\u2003Between March 2011 and April 2019, 56 patients underwent PEA with additional cardiac surgery. The most common additional procedure was coronary artery bypass grafting (21 patients; 38%). The median intensive care unit and hospital stays were 4 (3\u20136) days and 10 (8\u201314) days. Mortality was recorded in six patients (11%). In multivariate analysis, only preoperative pulmonary vascular resistance (PVR) (p\u2009=\u20090.02; odds ratio [OR]: 1.003) and cardiopulmonary bypass duration (p\u2009=\u20090.02; OR: 1.028) were associated with mortality. When the cutoff value of 1000 dyn.s.cm\u22125 was taken in the receiver operating characteristic curve analysis, preoperative PVR predicted mortality with 83% sensitivity and 94% specificity (area under curve\u2009=\u20090.89; p\u2009&lt;\u20090.01).<\/jats:p><jats:p>\n          Conclusion\u2003PEA for CTEPH may be performed safely with other cardiac operations. This type of surgery is a complex procedure that should be performed only in expert centers. Patients with high preoperative PVR are at increased risk of perioperative complications.<\/jats:p>","DOI":"10.1055\/s-0040-1710580","type":"journal-article","created":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T22:37:45Z","timestamp":1596321465000},"page":"279-283","source":"Crossref","is-referenced-by-count":6,"title":["Outcomes of Pulmonary Endarterectomy Operation Concomitant with Cardiac Procedures"],"prefix":"10.1055","volume":"69","author":[{"given":"Hasan","family":"Erdem","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Health Sciences University Kartal Ko\u015fuyolu Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5776-6993","authenticated-orcid":false,"given":"Oktay","family":"Korun","sequence":"additional","affiliation":[{"name":"Pediatric Cardiac Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmed","family":"Yanarta\u015f","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Health Sciences University Kartal Ko\u015fuyolu Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serpil","family":"Ta\u015f","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Health Sciences University Kartal Ko\u015fuyolu Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benay","family":"Erden","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Health Sciences University Kartal Ko\u015fuyolu Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Onur","family":"Yerlikhan","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Health Sciences University Kartal Ko\u015fuyolu Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atakan","family":"Erkilin\u00e7","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Health Sciences University Kartal Ko\u015fuyolu Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cihangir","family":"Kaymaz","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Health Sciences University Kartal Ko\u015fuyolu Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan","family":"Sunar","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Health Sciences University Kartal Ko\u015fuyolu Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bedrettin","family":"Yildizeli","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Marmara University School of Medicine, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,8,1]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1093\/eurheartj\/ehv317","article-title":"2015 ESC\/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation 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