Pulmonary Endarterectomy: A Complex Lifesaving Lung Surgery

Pulmonary Endarterectomy (PEA) is a complex yet lifesaving surgical procedure for those suffering from chronic thromboembolic pulmonary hypertension (CTEPH). This surgery aims to remove blockages in the pulmonary arteries, improving blood flow and relieving symptoms such as shortness of breath and chest pain. For anyone considering this surgery, it's essential to choose the best hospital for Pulmonary Endarterectomy to ensure optimal outcomes and advanced post-operative care. Felix Hospital provides high-quality care with a team of experienced specialists, including Dr. Priyadarshi Jitendra Kumar, renowned for his expertise in pulmonology.
 

If you or a loved one is dealing with CTEPH, don’t hesitate to Click Here to reach out to Felix Hospital.

What is Pulmonary Endarterectomy?

Pulmonary Endarterectomy (PEA) is a highly specialized surgical procedure used to treat CTEPH by removing organized blood clots from the pulmonary arteries. When blood clots from deep veins lodge in the pulmonary arteries, they obstruct blood flow and can lead to increased pressure in the lungs, resulting in CTEPH. PEA surgery removes these obstructions, allowing blood to flow freely, reducing lung pressure, and improving oxygenation.

When is Surgery Required?

Surgery is typically required in patients with CTEPH when:

1. Significant Blockage: Persistent blood clots obstruct the pulmonary arteries, causing increased pressure and symptoms.
2. Severe Symptoms: Patients experience severe shortness of breath, fatigue, or chest pain that impacts their quality of life.
3. Ineffectiveness of Medication: For some patients, medications are ineffective in managing CTEPH, making surgery the best option.
4. Risk of Heart Failure: Elevated lung pressure can lead to heart strain or right heart failure if untreated.

PEA is often a last-resort option, usually considered after confirming that other treatments or medications won’t suffice.

Causes of CTEPH

CTEPH primarily arises from unresolved pulmonary embolisms (PEs) or blood clots that form in the deep veins, usually in the legs, and travel to the lungs. When these clots do not dissolve, they can permanently lodge in the pulmonary arteries, causing long-term pressure and damage.

Other factors that may contribute to the development of CTEPH include:

• Genetic predispositions

• Chronic inflammatory or autoimmune conditions

• Certain blood disorders

• Previous surgeries or trauma

Diagnosis

To accurately diagnose CTEPH and determine if PEA surgery is appropriate, a series of tests and imaging studies are performed:

1. Pulmonary Angiography: This imaging test provides detailed visuals of the pulmonary arteries to locate any obstructions.
2. Echocardiography: This test measures pressure within the pulmonary arteries and assesses heart function.
3. Ventilation-Perfusion (V/Q) Scan: A V/Q scan identifies regions in the lungs where blood flow may be restricted.
4. CT Pulmonary Angiography: CT angiography allows doctors to view blood flow within the pulmonary arteries and identify any blood clots.
5. Right Heart Catheterization: This procedure helps measure blood pressure in the lungs to confirm the presence of CTEPH.
 

Prognosis

The prognosis for patients undergoing PEA surgery is generally favorable, especially when treated at a well-equipped facility with expert surgeons. PEA provides substantial symptom relief, improved quality of life, and increased survival rates, though results can vary based on individual health factors. The cost of a Pulmonary Endarterectomy surgery depends on factors such as hospital facilities, surgeon fees, and post-operative care requirements. Patients are encouraged to discuss the expected costs with their healthcare provider to prepare for both the surgery and the recovery phase.

Meet the Best Pulmonologist at Felix Hospital

At Felix Hospital, we’re proud to have Dr. Priyadarshi Jitendra Kumar, one of the best pulmonologists, specializing in pulmonary surgeries and advanced respiratory care. Dr. Kumar’s extensive experience and patient-centered approach make him the ideal choice for anyone considering a PEA.

Conclusion

Pulmonary Endarterectomy  is a challenging yet rewarding surgery that offers hope to those struggling with CTEPH. Choosing a hospital with the expertise, resources, and skilled pulmonologists can make a significant difference in your treatment outcome. At Felix Hospital, our team is here to provide comprehensive support through every stage of your journey to better lung health.
 

Ready to learn more about Pulmonary Endarterectomy and how we can help? Contact Felix Hospital today at +91 9667064100.

FAQs

1. What is the main goal of Pulmonary Endarterectomy?  
ANS: The main goal is to remove blood clots from the pulmonary arteries to restore normal blood flow and relieve symptoms of CTEPH.

2. Who qualifies for Pulmonary Endarterectomy?  
ANS:  Patients with CTEPH, where medications are ineffective, and the risk of heart failure is present, may be candidates.

3. How long is the recovery period?  
ANS:  Recovery varies, but most patients can resume normal activities within a few months, with gradual improvement over time.

4. What are the risks associated with PEA?  
ANS:  While generally safe, risks include bleeding, infection, or recurrence of symptoms, especially in patients with severe pre-existing conditions.

5. How effective is PEA in treating CTEPH?  
ANS:  PEA is highly effective, providing substantial symptom relief and improving the quality of life for many patients.

6. Is the procedure painful?  
ANS: The surgery is performed under anesthesia, so patients do not experience pain during the procedure. Post-operative discomfort is managed with medications.

7. Does insurance cover the cost of Pulmonary Endarterectomy?  
ANS:  Many insurance plans cover the surgery, but coverage varies. It’s advisable to confirm with your provider.

8. Can lifestyle changes help after surgery?  
ANS: Yes, lifestyle changes like regular exercise, a balanced diet, and avoiding smoking can enhance post-surgery recovery and overall health.

9. How do I prepare for PEA surgery?  
ANS:  Preparation includes medical evaluations, lifestyle adjustments, and following your doctor’s guidance on diet and medications leading up to surgery.