CTICasesChronic thromboembolic pulmonary hypertension (CTEPH) treated with thromboendarterectomy
[...]. Chronic thromboembolic pulmonary hypertension (CTEPH) treated with thromboendarterectomy. CTICases. Published October 7, 2019. https://str-case-explorer.pages.dev/c/a22a8
Imaging findings
CT angiogram and V/Q perfusion scan demonstrate complete occlusion of the right interlobar pulmonary artery and left upper lobe pulmonary artery branches. Post-operative CT following pulmonary thromboendarterectomy shows dramatic recanalization of the vessels, decreased main pulmonary artery caliber, and resolved pulmonary hypertension.
Key takeaways
CTEPH is a progressive form of pulmonary hypertension caused by non-resolving pulmonary emboli. Surgical pulmonary thromboendarterectomy is curative, providing dramatic restoration of vessel patency and hemodynamic improvement.
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