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Updated: Jun 23, 2026
09:22
Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
Published on: November 4, 2015
Chronic thromboembolic pulmonary hypertension.
Ayaz Hussain Shaikh1, Bashir Hanif, Faiza Malik
1Department of Cardiology, Tabba Heart Institute, Karachi.
Summary
A 65-year-old woman with diabetes and hypertension presented with shortness of breath. Diagnosis confirmed chronic thromboembolic pulmonary hypertension due to multiple pulmonary artery clots.
Area of Science:
- Cardiology
- Pulmonology
- Radiology
Background:
- The case involves a 65-year-old female with pre-existing diabetes and hypertension.
- The patient experienced a two-year history of episodic dyspnea, indicating a declining functional class.
Observation:
- On admission, the patient exhibited tachypnea and reduced oxygen saturation.
- Physical examination revealed jugular venous distension and bibasal crackles.
- Electrocardiogram (ECG) results were normal.
Findings:
- Echocardiography demonstrated dilated right-sided heart chambers, right ventricular systolic dysfunction, and severe pulmonary hypertension.
- A CT chest scan revealed multiple thrombi within the main and branch pulmonary arteries.
- These findings established the diagnosis of chronic thromboembolic pulmonary hypertension (CTEPH).
Implications:
- This case highlights the importance of considering CTEPH in patients with unexplained pulmonary hypertension and dyspnea.
- Diagnostic imaging, including CT pulmonary angiography, is crucial for identifying chronic thromboembolic pulmonary hypertension.
- Timely diagnosis and management of CTEPH can improve patient outcomes and functional status.
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