Abstract
Letters2 December 2008Chorea in Adults after Pulmonary Endarterectomy with Deep Hypothermia and Circulatory ArrestRob M.A. de Bie, MD, PhD, Sulaiman Surie, MD, Jaap J. Kloek, MD, Jules D. Biervliet, MD, Edouard M. de Beaumont, MD, Peter M.M.J. Rutten, Harriet M.M. Smeding, PhD, Paul Bresser, MD, PhD, and Marina A.J. Tijssen, MD, PhDRob M.A. de Bie, MD, PhDFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands.Search for more papers by this author, Sulaiman Surie, MDFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands.Search for more papers by this author, Jaap J. Kloek, MDFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands.Search for more papers by this author, Jules D. Biervliet, MDFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands.Search for more papers by this author, Edouard M. de Beaumont, MDFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands.Search for more papers by this author, Peter M.M.J. RuttenFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands.Search for more papers by this author, Harriet M.M. Smeding, PhDFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands.Search for more papers by this author, Paul Bresser, MD, PhDFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands.Search for more papers by this author, and Marina A.J. Tijssen, MD, PhDFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-149-11-200812020-00025 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Chronic thromboembolic pulmonary hypertension results from incomplete resolution of vascular obstruction caused by pulmonary thromboembolism. Prognosis is poor if left untreated (1). Pulmonary endarterectomy (PEA) is the therapy of choice for patients with surgically accessible thrombi (1).Objective: To describe 5 adult patients in our hospital who underwent PEA and subsequently developed chorea, and to investigate the features associated with the development of chorea.Methods: Pulmonary endarterectomy requires median sternotomy, cardiopulmonary bypass, and hypothermic circulatory arrest and was performed according to the University of California, San Diego, protocol (2). The patient is cooled to 20 °C or less in 60 ...
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