Chorea in Adults after Pulmonary Endarterectomy with Deep Hypothermia and Circulatory Arrest
Authors: Rob M.A. de Bie
Journal: Annals of Internal Medicine (2008)

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., Sulaiman Surie, MDFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands., Jaap J. Kloek, MDFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands., Jules D. Biervliet, MDFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands., Edouard M. de Beaumont, MDFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands., Peter M.M.J. RuttenFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands., Harriet M.M. Smeding, PhDFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands., Paul Bresser, MD, PhDFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands., and Marina A.J. Tijssen, MD, PhDFrom University of Amsterdam, 1105 AZ Amsterdam, Netherlands.Author, 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 ...References1. Fedullo PF, Auger WR, Kerr KM, Rubin LJ. Chronic thromboembolic pulmonary hypertension. N Engl J Med. 2001;345:1465-72. [PMID: 11794196] CrossrefMedlineGoogle Scholar2. Jamieson SW, Kapelanski DP, Sakakibara N, Manecke GR, Thistlethwaite PA, Kerr KM, et al. Pulmonary endarterectomy: experience and lessons learned in 1,500 cases. Ann Thorac Surg. 2003;76:1457-62; discussion 1462-4. [PMID: 14602267] Google Scholar3. Jamieson SW, Auger WR, Fedullo PF, Channick RN, Kriett JM, Tarazi RY, et al. Experience and results with 150 pulmonary thromboendarterectomy operations over a 29-month period. J Thorac Cardiovasc Surg. 1993;106:116-26; discussion 126-7. [PMID: 8320990] Google Scholar4. Medlock MD, Cruse RS, Winek SJ, Geiss DM, Horndasch RL, Schultz DL, et al. A 10-year experience with postpump chorea. Ann Neurol. 1993;34:820-6. [PMID: 8250531] CrossrefMedlineGoogle Scholar5. Robinson RO, Samuels M, Pohl KR. Choreic syndrome after cardiac surgery. Arch Dis Child. 1988;63:1466-9. [PMID: 3232995] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Rob 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; Marina A.J. Tijssen, MD, PhDAffiliations: From University of Amsterdam, 1105 AZ Amsterdam, Netherlands.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byNeurologic complications after cardiopulmonary bypass – A narrative reviewRisk factors and prognosis of adult-onset post-pump choreaGeneralized and orofacial choreoathetosis: a case report of anti-CV2 paraneoplastic syndrome after cardiac arrestEffects of bilateral pallidal deep brain stimulation on chorea after pulmonary thromboendarterectomy with deep hypothermia and circulatory arrest: a case reportChoreoathetotic syndrome following cardiac surgeryBeriberi, a Severe Complication after Metabolic Surgery - Review of the LiteraturePost-Pump Chorea—Choreiform Movements Developing after Pulmonary Thromboendarterectomy for Chronic Pulmonary Hypertension Presenting as "Functional" Movement DisorderPost pump chorea in a 77-year-old maleChorea in adults following pulmonary endarterectomyLate-onset choreoathetotic syndrome following heart surgery 2 December 2008Volume 149, Issue 11Page: 842KeywordsCardiopulmonary bypassChildrenHypothermiaMagnetic resonance imagingPulmonary hypertensionReperfusionSternotomyStrokeSurgeryTemperature ePublished: 2 December 2008 Issue Published: 2 December 2008 Copyright & PermissionsCopyright © 2008 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...