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Case 3: Distal Chronic Thromboembolic Disease—Is Surgery an Option?

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Clinical Cases in Chronic Thromboembolic Pulmonary Hypertension

Part of the book series: Clinical Cases in Cardiology ((CCC))

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Abstract

Patients with distal CTEPH remain among the most challenging to manage. This case illustrates the importance of screening all pulmonary hypertensive patients for CTEPH, and the value of correctly identifying patients with distal vessel chronic thromboembolic disease where a cure with thromboendarterectomy is feasible.

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Further Reading

  • Bonderman D, Wilkens H, Wakounig S, et al. Risk factors for chronic thromboembolic pulmonary hypertension. Eur Respir J. 2009;33:325–31.

    Article  CAS  Google Scholar 

  • D’Armini AM, Morsolini M, Mattiucci G, et al. Pulmonary endarterectomy for distal chronic thromboembolic pulmonary hypertension. J Thorac Cardiovasc Surg. 2014;148:1005–12.

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  • He J, Fang W, Lv B, et al. Diagnosis of chronic thromboembolic pulmonary hypertension: comparison of ventilation/perfusion scanning and multidetector computed tomography pulmonary angiography with pulmonary angiography. Nucl Med Commun. 2012;33:459–63.

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  • Madani MM, Jamieson SW. Technical advances of pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension. Semin Thorac Cardiovasc Surg. 2006;18:243–9.

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  • Madani M, Mayer E, Fadel E, Jenkins DP. Pulmonary endarterectomy: patient selection, technical challenges, and outcomes. Ann Am Thorac Soc. 2016;13(Suppl 3):S240–7.

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  • Mayer E, Jenkins D, Lindner J, et al. Surgical management and outcomes of patients with chronic thromboembolic pulmonary hypertension: results from an international prospective registry. J Thorac Cardiovasc Surg. 2011;141:702.

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  • Tunariu N, Gibbs SJR, Win Z, et al. Ventilation-perfusion scintigraphy is more sensitive than multidetector CTPA in detecting chronic thromboembolic pulmonary disease as a treatable cause of pulmonary hypertension. J Nucl Med. 2007;48:680–4.

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  • Sugiura T, Tanabe N, Matsuura Y, et al. Role of 320-slice CT imaging in the diagnostic workup of patients with chronic thromboembolic pulmonary hypertension. Chest. 2013;143:1070–7.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Pulmonary Hypertension, Right Heart Failure, and CTEPH Program, Advanced Heart Failure and Cardiac Transplant, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA

    Anjali Vaidya

  2. Pulmonary Hypertension, Right Heart Failure, and CTEPH Program, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA

    Anjali Vaidya

  3. Department of Radiology, Imperial College Hospitals, London, UK

    Deepa Gopalan

  4. Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA

    William R. Auger

Authors
  1. Anjali Vaidya
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  2. Deepa Gopalan
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  3. William R. Auger
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Corresponding author

Correspondence to Anjali Vaidya .

Editor information

Editors and Affiliations

  1. Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA

    William R. Auger

  2. Department of Radiology, Imperial College Hospitals, London, UK

    Deepa Gopalan

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Vaidya, A., Gopalan, D., Auger, W.R. (2020). Case 3: Distal Chronic Thromboembolic Disease—Is Surgery an Option?. In: Auger, W., Gopalan, D. (eds) Clinical Cases in Chronic Thromboembolic Pulmonary Hypertension. Clinical Cases in Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-030-17366-1_3

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  • DOI: https://doi.org/10.1007/978-3-030-17366-1_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-17365-4

  • Online ISBN: 978-3-030-17366-1

  • eBook Packages: MedicineMedicine (R0)

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