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Semin intervent Radiol 2018; 35(02): 136-142
DOI: 10.1055/s-0038-1651481
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Chronic Thromboembolic Pulmonary Hypertension

Stuart Jamieson
1   Division of Cardiovascular and Thoracic Surgery, University of California, San Diego, California
,
G. Victor Pretorius
1   Division of Cardiovascular and Thoracic Surgery, University of California, San Diego, California
› Author Affiliations
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Publication History

Publication Date:
04 June 2018 (online)

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Abstract

Chronic thromboembolic pulmonary hypertension occurs when acute thromboemboli fail to dissolve completely. The resulting fibrotic scar tissue within the pulmonary arteries is obstructive and eventually leads to right heart failure. Medical therapy for this condition is supportive, but surgery with pulmonary artery endarterectomy is curative, and carries a low mortality at experienced centers.

Keywords

pulmonary hypertension - pulmonary embolism - pulmonary endarterectomy
 

  • References

  • 1 Lang IM. Chronic thromboembolic pulmonary hypertension--not so rare after all. N Engl J Med 2004; 350 (22) 2236-2238
    CrossrefPubMedGoogle Scholar
  • 2 Lang IM, Madani M. Update on chronic thromboembolic pulmonary hypertension. Circulation 2014; 130 (06) 508-518
    CrossrefPubMedGoogle Scholar
  • 3 Jamieson SW, Kapelanski DP. Pulmonary endarterectomy. Curr Probl Surg 2000; 37 (03) 165-252
    CrossrefPubMedGoogle Scholar
  • 4 Nijkeuter M, Hovens MM, Davidson BL, Huisman MV. Resolution of thromboemboli in patients with acute pulmonary embolism: a systematic review. Chest 2006; 129 (01) 192-197
    CrossrefPubMedGoogle Scholar
  • 5 Jamieson SW, Kapelanski DP, Sakakibara N. , et al. Pulmonary endarterectomy: experience and lessons learned in 1,500 cases. Ann Thorac Surg 2003; 76 (05) 1457-1462 , discussion 1462–1464
    CrossrefPubMedGoogle Scholar
  • 6 Madani MM, Auger WR, Pretorius V. , et al. Pulmonary endarterectomy: recent changes in a single institution's experience of more than 2,700 patients. Ann Thorac Surg 2012; 94 (01) 97-103 , discussion 103
    CrossrefPubMedGoogle Scholar