关键词: balloon pulmonary angioplasty chronic thromboembolic pulmonary hypertension pulmonary artery pressure pulmonary embolism pulmonary endarterectomy right heart catheterization ventilation perfusion scan

来  源:   DOI:10.1055/s-0043-1767759   PDF(Pubmed)

Abstract:
Chronic thromboembolic pulmonary hypertension is rare, underdiagnosed form of pulmonary hypertension. It is caused by intravascular obstruction of pulmonary arteries due to fibrotic transformation of thromboembolic material and microvasculopathy. It is important to diagnose this variant as potentially curative treatment in the form of pulmonary endarterectomy is available. Last two decades have seen rapid advances in targeted medical management and refinement in balloon pulmonary angioplasty technique, which have provided a viable therapeutic option for patients who deemed to be inoperable.
摘要:
慢性血栓栓塞性肺动脉高压是罕见的,未确诊的肺动脉高压.它是由由于血栓栓塞物质的纤维化转化和微血管病变引起的肺动脉血管内阻塞引起的。重要的是诊断这种变体,因为可以使用肺内膜切除术的形式进行潜在的治愈性治疗。在过去的二十年中,有针对性的医疗管理和球囊肺血管成形术技术的改进取得了迅速的进展,这为被认为无法手术的患者提供了可行的治疗选择。
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