• Expert Rev Respir Med · Jun 2016

    Review

    Pulmonary endarterectomy for the treatment of chronic thromboembolic pulmonary hypertension.

    • Stefan Guth, Christoph B Wiedenroth, Thorsten Kramm, and Eckhard Mayer.
    • a Department of Thoracic Surgery , Kerckhoff Heart and Lung Center , Bad Nauheim , Germany.
    • Expert Rev Respir Med. 2016 Jun 1; 10 (6): 673-84.

    AbstractPulmonary endarterectomy is a curative treatment option for patients with chronic thromboembolic pulmonary hypertension (CTEPH). There is a growing body of evidence suggesting that not only patients with CTEPH but also patients with pulmonary arterial obstructions and mean pulmonary artery pressures < 25 mmHg should be offered surgery. In this review, the recent literature regarding pathophysiology, diagnostic methods, decision making by an expert CTEPH team, and surgical techniques will be summarized. Novel alternative treatment options for inoperable CTEPH patients will be discussed, i.e. targeted medical therapy and balloon pulmonary angioplasty. For the future the major task will be to define a clear selection process for the optimal treatment of the individual CTEPH patient.

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