Titlebook: Clinical Cases in Chronic Thromboembolic Pulmonary Hypertension; William R. Auger,Deepa Gopalan Book 2020 Springer Nature Switzerland AG 2

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Clinical Cases in Cardiologyhttp://image.papertrans.cn/c/image/227853.jpg

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https://doi.org/10.1007/978-3-319-21780-2Patients with distal CTEPH remain among the most challenging to manage. This case illustrates the importance of screening all pulmonary hypertensive patients for CTEPH, and the value of correctly identifying patients with distal vessel chronic thromboembolic disease where a cure with thromboendarterectomy is feasible.

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Case 15: CTEPH? But the Lung Scan Is Normal!,That CT angiography demonstrates evidence for chronic thrombus while the perfusion pattern on lung scintigraphy is normal can be readily explained. This case will demonstrate this “discrepancy” and underscores the value of a normal VQ scan in ruling out operable chronic thromboembolic disease.

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Case 1: The Evaluation of Chronic Thromboembolic Pulmonary Hypertension,darterectomy, this pulmonary vascular disease is potentially curable. As a result, a careful assessment of patients at-risk for or suspected of having CTEPH is essential, and this case presentation illustrates an appropriate approach for such an evaluation.

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