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The Surgical Management of Chronic Thromboembolic Pulmonary Hypertension
Kevin C McGann1, Chen Chia Wang1, John M Trahanas1
1Department of Cardiac Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Abstract:
Chronic thromboembolic pulmonary hypertension (CTEPH) is a type of pulmonary hypertension due to unresolved thromboembolic disease that presents with signs of pulmonary artery obstruction and right heart dysfunction. Pulmonary thromboendoarterectomy (PTE) with deep hypothermic circulatory arrest remains the standard of care for the treatment of CTEPH, with significant improvements in symptoms and functional status after surgery. This review outlines the diagnostic workup, considerations during operative planning, surgical technique, and postoperative management of CTEPH patients.
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