Pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension with bronchial obstruction by a carcinoid tumor

Abstract Pulmonary endarterectomy (PEA) is a standard treatment for chronic thromboembolic pulmonary hypertension (CTEPH). CTEPH combined with bronchial obstruction by a tumor is rare but should be assessed carefully because PEA for obstructed segments can be less therapeutic and make the subsequent...

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Bibliographic Details
Main Authors: Yuki Monden, Dai Une, Sho Mitsumune, Hiroto Shimokawahara, Hirofumi Okada, Kenji Yoshida, Shutaro Kato, Suzuka Kamaguchi, Mikizo Nakai, Motomi Ando
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Pulmonary Circulation
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Online Access:https://doi.org/10.1002/pul2.12354
Description
Summary:Abstract Pulmonary endarterectomy (PEA) is a standard treatment for chronic thromboembolic pulmonary hypertension (CTEPH). CTEPH combined with bronchial obstruction by a tumor is rare but should be assessed carefully because PEA for obstructed segments can be less therapeutic and make the subsequent surgical resection challenging. This report describes a case of CTEPH with bronchial obstruction by a typical carcinoid tumor in a 75‐year‐old man. On‐site evaluation and removal of the obstructive tumor were performed bronchoscopically, increasing the effectiveness of subsequent PEA for all affected pulmonary segments. This report illustrates a PEA strategy to treat CTEPH with bronchial tumor obstruction.
ISSN:2045-8940