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Thorac Cardiovasc Surg Rep 2014; 03(01): 055-057
DOI: 10.1055/s-0034-1376176
Case Report: Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Chronic Thromboembolic Pulmonary Hypertension after Pulmonary Embolism, Thrombolysis, Catheter Fragmentation, and Embolectomy

Authors

  • Christoph B. Wiedenroth

    1   Department of Thoracic Surgery, Kerckhoff-Clinic, Bad Nauheim, Hessen, Germany

  • Stefan Guth

    1   Department of Thoracic Surgery, Kerckhoff-Clinic, Bad Nauheim, Hessen, Germany

  • Andreas Rolf

    2   Department of Cardiology, Kerckhoff-Clinic, Bad Nauheim, Hessen, Germany

  • Eckhard Mayer

    1   Department of Thoracic Surgery, Kerckhoff-Clinic, Bad Nauheim, Hessen, Germany
Further Information

Publication History

08 February 2014

18 March 2014

Publication Date:
29 May 2014 (online)

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Abstract

A 21-year-old male patient with massive acute pulmonary embolism was treated by thrombolysis, interventional thrombus fragmentation, and surgical pulmonary embolectomy. Within the following 2 years, the patient developed progressive dyspnea at exertion. Chronic thromboembolic pulmonary hypertension was diagnosed by right-heart catheter, VQ scan, magnetic resonance, and conventional pulmonary angiography. A normalization of the patient's exercise capacity and pulmonary hemodynamics could be achieved by pulmonary endarterectomy and patch reconstruction of the right main pulmonary artery.

Keywords

pulmonary embolism - chronic thromboembolic pulmonary hypertension - pulmonary endarterectomy
 

  • References

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