Skip to main content
Have a personal or library account? Click to login
Chronic Thromboembolic Pulmonary Hypertension: A Comprehensive Review and Multidisciplinary Approach to Surgical Treatment Cover

Chronic Thromboembolic Pulmonary Hypertension: A Comprehensive Review and Multidisciplinary Approach to Surgical Treatment

Open Access
|Jul 2021

Figures & Tables

Figure 1

Ventilation-perfusion scan of patient with thromboembolic pulmonary hypertension showing multiple wedge-shaped perfusion deficits bilaterally.

Figure 2

Digital subtraction angiograms demonstrating multiple webs, vessel occlusions, and pouch defects consistent with thromboembolic pulmonary hypertension.

Figure 3

(A) Coronal and (B) axial computed tomography demonstrating a web-like filling defect in a 52-year-old female with thromboembolic pulmonary hypertension.

Figure 4

Bronchial collateralization from (A) the left circumflex artery and from (B) the conus branch of the right coronary artery.

Figure 5

View from right pulmonary vasculature demonstrating the importance of a bloodless field to achieve complete distal dissection in pulmonary thromboendarterectomy.

Figure 6

(A) Central aortic cannulation for cardiopulmonary bypass. (B) Recommended configuration for bicaval venous cannulation (IVC/SVC) to facilitate mobilization of the SVC and exposure of the RPA medially. IVC: inferior vena cava; SVC: superior vena cava; RPA: right pulmonary artery.

Figure 7

(A) The correct dissection plane is white and smooth and often offers little resistance. (B) Yellow arrows indicate an incorrect plane of dissection, which appears pink.

Figure 8

Specimen from a 37-year-old male with a history significant for antiphospholipid syndrome presenting with complete occlusion of right pulmonary artery, which appears mushroom-like (asterisk). Left pulmonary endarterectomy specimen shows an ulcerated lesion (arrow).

DOI: https://doi.org/10.14797/IQTU6714 | Journal eISSN: 1947-6108
Language: English
Submitted on: Apr 4, 2021
Accepted on: Apr 4, 2021
Published on: Jul 1, 2021
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services

© 2021 Qasim Al Abri, Alexander J Lu, Mahesh K Ramchandani, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.