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Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
Published on: November 4, 2015
Chronic thromboembolic pulmonary hypertension
K Gowrinath1, K Padmanabha Kamath
1Department of Tuberculosis and Respiratory Diseases, Kasturba Medical College, Manipal, India. drkgowrinath@gmail.com
The Indian Journal of Chest Diseases & Allied Sciences
|March 26, 2009
Summary
Chronic thromboembolic pulmonary hypertension (CTEPH) can follow pulmonary embolism. This case highlights CTEPH diagnosis and management challenges, emphasizing CTPA
Area of Science:
- Cardiology
- Pulmonology
- Radiology
Background:
- Chronic thromboembolic pulmonary hypertension (CTEPH) is a rare but serious complication of acute pulmonary embolism.
- Early diagnosis and treatment are crucial for managing CTEPH and preventing long-term complications.
Observation:
- A 58-year-old male presented with symptoms suggestive of CTEPH three months after experiencing pleurisy and pleural effusion.
- Initial six-month anticoagulation therapy did not fully resolve thromboemboli or improve pulmonary hypertension.
Findings:
- Computed tomographic pulmonary angiography (CTPA) confirmed the diagnosis of CTEPH.
- CTPA proved valuable for both diagnosing chronic pulmonary thromboembolism and monitoring treatment response.
Implications:
- This case underscores the importance of considering CTEPH in patients with a history of pulmonary embolism and persistent symptoms.
- CTPA is a key imaging modality for the diagnosis and follow-up of chronic thromboembolic pulmonary hypertension.
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