title: [CT angiography as the diagnostic and decision making method used for surgical indication in pulmonary hypertension due to chronic thromboembolism. Report of one case].
abstract: Pulmonary hypertension due to chronic pulmonary thromboembolism is frequently underdiagnosed and has a very poor prognosis if untreated. When the presence of central pulmonary artery thrombus is confirmed, thromboendarterectomy is the treatment of choice, with very good results. We report a 28 years old male with two previous episodes of deep venous thrombosis (DVT) who was admitted due to 8 months of progressive shortness of breath and a syncope. He underwent a CT pulmonary angiogram and an echocardiogram. Severe pulmonary hypertension was confirmed, secondary to a chronic pulmonary thromboembolism with an overlapped acute component. He received systemic thrombolysis with partial thrombus disappearance. Therefore a pulmonary thromboendarterectomy was performed and an inferior vena cava filter was placed. The patient was discharged with marked improvement in his functional capacity.
authors.affiliation: Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Claro
authors.forename: René
authors.initials: R
authors.lastname: Baudrand
authors.forename: Cristián
authors.initials: C
authors.lastname: Baeza
authors.forename: Luz María
authors.initials: LM
authors.lastname: Letelier
mesh_terms: D000328:Adult; D000792:Angiography / Q000379:methods; D002908:Chronic Disease; D004691:Endarterectomy; D006801:Humans; D006976:Hypertension, Pulmonary / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D008297:Male; D011655:Pulmonary Embolism / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods*