title: [Chronic thrombo-embolic pulmonary hypertension].
abstract: Chronic thrombo-embolic pulmonary hypertension (CTEPH) was diagnosed in two patients, a man aged 55 years and a woman aged 54 years, who had both suffered an episode of pulmonary embolism. CTEPH is a rare but serious late complication of pulmonary embolism. If left untreated, it is a progressive disease with a poor prognosis. Pulmonary endarterectomy is the treatment of choice for CTEPH; both patients were treated successfully with this operation. In clinical practice patients are often initially misdiagnosed, due to unawareness of the condition, and are therefore subjected to a long delay before treatment. In the first patient the condition had not been recognised on CT scans. The second patient had initially been treated with psychotherapy for a suspected burn-out. All physicians involved in taking care of patients with pulmonary embolism, must be aware of this serious complication. Diagnosis and treatment of CTEPH require a high level of expertise.
authors.affiliation: Academisch Medisch Centrum, Afdeling Longziekten, Amsterdam, the Netherlands.
authors.forename: Sulaiman
authors.initials: S
authors.lastname: Surie
authors.forename: Otto M
authors.initials: OM
authors.lastname: van Delden
authors.forename: Jaap J
authors.initials: JJ
authors.lastname: Kloek
authors.forename: Paul
authors.initials: P
authors.lastname: Bresser
mesh_terms: D004691:Endarterectomy; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011655:Pulmonary Embolism / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome