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Revista Médica del Uruguay

versión On-line ISSN 1688-0390

Resumen

SALISBURY, Juan Pablo; CURBELO, Pablo; ARCAUS, Mercedes  y  CANEVA, Jorge. Hipertensión pulmonar tromboembólica crónica. Rev. Méd. Urug. [online]. 2011, vol.27, n.3, pp.166-174. ISSN 1688-0390.

Summary Chronic thromboembolic pulmonary hypertension (CTEPH) is an unusual entity that may be observed in up to 4% of patients surviving an acute pulmonary thromboembolism (APTE). It is a disease with a poor prognosis unless there is an early diagnosis and a timely treatment. Paradoxically, it is the only form of pulmonary hypertension that may be cured by means of a pulmonary endarterectomy (PE). It is initially diagnosed by non-invasive methods such as the Doppler echocardiogram and the ventilation/perfusion pulmonary scintigraphy (V/Q). Diagnostic and preoperative assessment is completed with a right cardiac catheterization and a pulmonary angiography. These techniques confirm the chronic thromboembolic pulmonary hypertension and define whether it is possible to perform a pulmonary endarterectomy.

Palabras clave : HYPERTENSION, PULMONARY. THROMBOEMBOLISM. CHRONIC DISEASE.

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