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Clinical Cases in Chronic Thromboembolic Pulmonary Hypertension pp 11–20Cite as

Case 2: There’s No Perfusion to that Lung! An Unusual Presentation for CTEPH

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Part of the book series: Clinical Cases in Cardiology ((CCC))

Abstract

Main pulmonary artery occlusion from chronic thromboembolic disease can rarely be the cause for non-perfusion of an entire lung. Careful evaluation of alternative and more common causes for this finding is essential. For those patients with chronic thromboembolic disease, thromboendarterectomy may result in lung reperfusion. However, the achievement of this outcome may be impacted by the extent of collateral systemic blood flow and duration of main pulmonary artery occlusion.

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Further Reading

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  • Hirsch AJ, Moser KM, Auger WR, Channick RN, Fedullo PF. Unilateral pulmonary artery thrombotic occlusion: is distal arteriopathy a consequence? Am J Respir Crit Care Med. 1996;154(2):491–6.

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  • Laczika K, Lang IM, Quehenberger P, et al. Unilateral chronic thromboembolic pulmonary disease associated with combined inherited thrombophilia. Chest. 2002;121:286–9.

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  • Madani M, Mayer E, Fadel E, Jenkins DP. Pulmonary endarterectomy: patient selection, technical challenges, and outcomes. Ann Am Thorac Soc. 2016;13(Suppl 3):S240–7.

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  • Moser KM, Olson LK, Schlusselberg M, Dembitsky WP. Chronic thromboembolic occlusion in the adult can mimic pulmonary artery agenesis. Chest. 1989;95:503–8.

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Author information

Authors and Affiliations

  1. Pulmonary Fellow, Division of Pulmonary and Critical Care Medicine, University of California, San Diego, San Diego, CA, USA

    Mona Alotaibi

  2. Division of Cardiovascular and Thoracic Surgery, University of California, San Diego, San Diego, CA, USA

    Victor Pretorius

  3. Heart Transplant and MCS Program, University of California, San Diego, San Diego, CA, USA

    Victor Pretorius

  4. Department of Radiology, Imperial College Hospitals, London, UK

    Deepa Gopalan

  5. Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA

    William R. Auger

Authors
  1. Mona Alotaibi
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  2. Victor Pretorius
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  3. Deepa Gopalan
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  4. William R. Auger
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Corresponding author

Correspondence to Victor Pretorius .

Editor information

Editors and Affiliations

  1. Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA

    William R. Auger

  2. Department of Radiology, Imperial College Hospitals, London, UK

    Deepa Gopalan

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Alotaibi, M., Pretorius, V., Gopalan, D., Auger, W.R. (2020). Case 2: There’s No Perfusion to that Lung! An Unusual Presentation for CTEPH. In: Auger, W., Gopalan, D. (eds) Clinical Cases in Chronic Thromboembolic Pulmonary Hypertension. Clinical Cases in Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-030-17366-1_2

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  • DOI: https://doi.org/10.1007/978-3-030-17366-1_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-17365-4

  • Online ISBN: 978-3-030-17366-1

  • eBook Packages: MedicineMedicine (R0)

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