Chapter

Chronic thromboembolic pulmonary hypertension (CTEPH)

David P Jenkins, Nicholas W Morrell, Karen Sheares and Joanna Pepke-Zaba

in Pulmonary Arterial Hypertension

Published on behalf of Oxford University Press

ISBN: 9780199572632
Published online January 2012 | e-ISBN: 9780199607495 | DOI: http://dx.doi.org/10.1093/med/9780199572632.003.0007

Series: Oxford Cardiology Library

Chronic thromboembolic pulmonary hypertension (CTEPH)

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• CTEPH is one of the most prevalent forms of pulmonary hypertension (PH) and should be considered in all cases with unexplained PH • Patients with persistent breathlessness following pulmonary emboli should be further investigated and referred to an experienced PH centre • Patients with CTEPH should receive lifelong anticoagulation and be considered for the treatment with pulmonary endarterectomy (PEA) • Pulmonary endarterectomy is the treatment of choice in selected cases and may be curative with normalization of pulmonary artery pressures and significant symptomatic and prognostic benefit • In selected CTEPH patients not suitable for surgery or patients with residual PH after PEA, treatment with pulmonary hypertension targeted drug therapy may be considered by experienced PH centres.

Chapter.  3145 words.  Illustrated.

Subjects: Cardiovascular Medicine

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