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An unusual case of CTEPH treated by BPA in a patient with a single lung after cancer surgery

Authors :
Szymon Darocha
Paweł Kurzyna
Marta Banaszkiewicz‐Cyganik
Piotr Kędzierski
Michał Florczyk
Arkadiusz Pietrasik
Dariusz Zieliński
Andrzej Biederman
Adam Torbicki
Marcin Kurzyna
Source :
Pulmonary Circulation, Vol 12, Iss 2, Pp n/a-n/a (2022)
Publication Year :
2022
Publisher :
Wiley, 2022.

Abstract

Abstract A 46‐year‐old man 1 year after left‐sided pneumonectomy for squamous cell lung cancer presented with severely limited exercise tolerance and dyspnea corresponding to World Health Organization functional class IV (WHO Class IV). After right heart catheterization (RHC), mean pulmonary artery pressure (mPAP) was 43 mmHg and pulmonary vascular resistance (PVR) was 10.2 Wood units (WU). Arteriography revealed organized clots located at the proximal level of the right pulmonary artery, leading to a diagnosis of chronic thromboembolic pulmonary hypertension (CTEPH). The CTEPH team disqualified the patient from surgical treatment due to high perioperative risk and referred him for balloon pulmonary angioplasty (BPA) together with pulmonary hypertension‐specific pharmacotherapy (sildenafil). The patient underwent a cycle of nine BPA sessions and completed treatment without complications. Follow‐up showed sustained hemodynamic improvement in RHC (mPAP 23 mmHg, PVR 2.6 WU), improved physical capacity (WHO Class II), and relief of dyspnea symptoms.

Details

Language :
English
ISSN :
20458940
Volume :
12
Issue :
2
Database :
Directory of Open Access Journals
Journal :
Pulmonary Circulation
Publication Type :
Academic Journal
Accession number :
edsdoj.453f521174c9404a8c7170666aa4d2da
Document Type :
article
Full Text :
https://doi.org/10.1002/pul2.12064