Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
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GUIDELINES
Year : 2014  |  Volume : 9  |  Issue : 5  |  Page : 62-66

Saudi Guidelines on the Diagnosis and Treatment of Pulmonary Hypertension: Chronic thromboembolic pulmonary hypertension


1 Department of Thoracic Surgery, Kerckhoff Clinic, Bad Nauheim, Germany
2 Division of Pulmonary Medicine, Prince Sultan Medical Military City, Riyadh, Saudi Arabia

Correspondence Address:
Eckhard Mayer
Department of Thoracic Surgery, Kerckhoff Clinic, Benekestr. 2-8, 61231 Bad Nauheim
Germany
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DOI: 10.4103/1817-1737.134037

PMID: 25076999

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Chronic thromboembolic pulmonary hypertension (CTEPH) is categorized as group IV in the WHO classification for pulmonary hypertension. The disease requires a very low index of suspicion for identification and needs a special diagnostic approach utilizing clinical, radiological, and hemodynamic tools. As CTEPH is potentially curable, all efforts should be consumed to reach the accurate diagnosis and subsequently evaluated for operability. Although pulmonary endarterectomy (PEA) is the only curative tool so far, recent updates concerning medical and interventional therapy have made significant advances in inoperable patients. In this review, we provide a detailed discussion on diagnostic algorithm, surgical operability criteria, PEA, and the medical therapy.


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