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Updated: Apr 23, 2026
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Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
Published on: November 4, 2015
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[Operability in chronic thromboembolic pulmonary hypertension]
Pneumologia (Bucharest, Romania)
|September 23, 2014
Summary
Pulmonary endarterectomy is a curative option for chronic thromboembolic pulmonary hypertension (CTEPH). Advanced age is not an absolute contraindication for this complex surgery if comorbidities are absent.
Area of Science:
- Cardiology
- Thoracic Surgery
- Pulmonary Hypertension
Background:
- Chronic thromboembolic pulmonary hypertension (CTEPH) presents unique challenges, particularly in elderly patients.
- Proximal bilateral pulmonary artery obstructions require specialized treatment.
Observation:
- An 86-year-old male with systemic hypertension and a history of treated colon cancer was diagnosed with CTEPH.
- Comprehensive work-up included detailed hemodynamic, cardiac, respiratory, and organ function assessments.
Findings:
- Pulmonary endarterectomy, the only curative therapy for proximal CTEPH, was deemed feasible despite the patient's age and history.
- The complex surgical procedure was successfully performed, yielding good clinical and hemodynamic outcomes.
Implications:
- Pulmonary endarterectomy should be considered for all CTEPH patients, irrespective of age, provided significant comorbidities are absent.
- This case highlights the potential benefits of surgical intervention in elderly CTEPH patients, challenging traditional contraindications.
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