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Lung transplantation may be an option for some patients.
About 10 percent of patients who have a pulmonary thromboendarterectomy continue to have pulmonary hypertension after the surgery.
To understand this condition, it is important to understand the role of the pulmonary circulation.
It is also helpful to understand the key words associated with the condition.
Patients with severe lung disease or disease of the heart’s left ventricle are not eligible for surgery.
For patients who have coronary artery disease, coronary artery bypass grafting (CABG) surgery can be performed at the same time as the pulmonary thromboendarterectomy.
If a physician suspects a patient has CTEPH, the next step is to perform imaging studies and specialized tests.Success is measured by heart size and function and return of pulmonary blood pressure to normal limits.As surgical techniques and technology advance, outcomes continue to improve, and surgical mortality is now less than 3 percent.In 2008, the World Council on Pulmonary Embolism reported that approximately 2 to 4 percent of people with PE develop CTEPH. Only about 5,000 people in the United States are diagnosed with CTEPH each year.Because many patients with CTEPH have no history of PE, or don’t know they have PE, it can be overlooked or not suspected.
When the right ventricle fills and contracts, it pushes blood into the pulmonary artery.