title: Chronic thromboembolic pulmonary hypertension after pulmonary embolism, thrombolysis, catheter fragmentation, and embolectomy.
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.
authors: Department of Thoracic Surgery, Kerckhoff-Clinic, Bad Nauheim, Hessen, Germany.
authors: Christoph B
authors: CB
authors: Wiedenroth
authors: Department of Thoracic Surgery, Kerckhoff-Clinic, Bad Nauheim, Hessen, Germany.
authors: Stefan
authors: S
authors: Guth
authors: Department of Cardiology, Kerckhoff-Clinic, Bad Nauheim, Hessen, Germany.
authors: Andreas
authors: A
authors: Rolf
authors: Department of Thoracic Surgery, Kerckhoff-Clinic, Bad Nauheim, Hessen, Germany.
authors: Eckhard
authors: E
authors: Mayer
keywords: chronic thromboembolic pulmonary hypertension; pulmonary embolism; pulmonary endarterectomy