Randas Vilela Batista
Vilela Batista Heart Foundation, Brazil
Title: SURGICAL TREATMENT OF EISEMENGER
Biography
Biography: Randas Vilela Batista
Abstract
Patients with congenital heart diseases, with left to right shunts, develop pulmonary hyper resistant hypertension, reversing to right to left shunt! Situation called "Eisenmenger"! Patients become cyanotic and the treatment today is heart-lung transplant! In most places this treatment is not done because of 100% mortality! Even at the best Heart Centers the mortality is very high! Consequently these patients are left to die at home with no treatment!
It is written in the textbooks that the reason for this transformation is pulmonary "hyperflow" due to left to right short-circuit! This theory didn’t make sense to me because i’ve done many pneumonectomies and the patients did not develop hyperesistant pulmonary hypertension in the remaining lung with doubled flow. I did then experiments on pigs to prove that what makes the lungs increase resistance was oxygen and not flow!
The treatment of this pathology is based on this new theory - That is: extracting oxygen from the pulmonary artery we can reverse the high resistant pulmonary lesions! I’ve operated 42 Eisenmenger patients who will be presented and discussed during this meeting!