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Chronic thromboembolic pulmonary hypertension.

Publication ,  Journal Article
Auger, WR; Fedullo, PF
Published in: Semin Respir Crit Care Med
August 2009

The last 4 decades have witnessed dramatic changes in the treatment of patients with pulmonary hypertension. And with the advances in cardiothoracic surgical techniques, selected patients with chronic thromboembolic pulmonary hypertension (CTEPH) are afforded a surgical remedy for their disease. In the vast majority of these patients, surgical endarterectomy of chronic thromboemboli from the pulmonary vascular bed effectively treats even severe pulmonary hypertension, and as a result, the debilitating symptoms of right heart dysfunction. This article reviews the natural history of chronic thromboembolic disease and outline a suggested diagnostic approach to determine whether a patient with chronic thromboembolic disease might be an appropriate surgical candidate. Pulmonary thromboendarterectomy surgery, and the growing information on the use of pharmacotherapy in inoperable CTEPH, are also reviewed.

Duke Scholars

Published In

Semin Respir Crit Care Med

DOI

EISSN

1098-9048

Publication Date

August 2009

Volume

30

Issue

4

Start / End Page

471 / 483

Location

United States

Related Subject Headings

  • Vasodilator Agents
  • Thromboembolism
  • Severity of Illness Index
  • Respiratory System
  • Pulmonary Artery
  • Hypertension, Pulmonary
  • Humans
  • Endarterectomy
  • Chronic Disease
  • 3201 Cardiovascular medicine and haematology
 

Citation

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Auger, W. R., & Fedullo, P. F. (2009). Chronic thromboembolic pulmonary hypertension. Semin Respir Crit Care Med, 30(4), 471–483. https://doi.org/10.1055/s-0029-1233316
Auger, William R., and Peter F. Fedullo. “Chronic thromboembolic pulmonary hypertension.Semin Respir Crit Care Med 30, no. 4 (August 2009): 471–83. https://doi.org/10.1055/s-0029-1233316.
Auger WR, Fedullo PF. Chronic thromboembolic pulmonary hypertension. Semin Respir Crit Care Med. 2009 Aug;30(4):471–83.
Auger, William R., and Peter F. Fedullo. “Chronic thromboembolic pulmonary hypertension.Semin Respir Crit Care Med, vol. 30, no. 4, Aug. 2009, pp. 471–83. Pubmed, doi:10.1055/s-0029-1233316.
Auger WR, Fedullo PF. Chronic thromboembolic pulmonary hypertension. Semin Respir Crit Care Med. 2009 Aug;30(4):471–483.
Journal cover image

Published In

Semin Respir Crit Care Med

DOI

EISSN

1098-9048

Publication Date

August 2009

Volume

30

Issue

4

Start / End Page

471 / 483

Location

United States

Related Subject Headings

  • Vasodilator Agents
  • Thromboembolism
  • Severity of Illness Index
  • Respiratory System
  • Pulmonary Artery
  • Hypertension, Pulmonary
  • Humans
  • Endarterectomy
  • Chronic Disease
  • 3201 Cardiovascular medicine and haematology