A 60-year-old man with known PE on anticoagulation presents 3 months later with progressive exertional dyspnea despite therapeutic anticoagulation. Echocardiography shows a right ventricular systolic pressure of 65 mmHg. Repeat CT angiography shows organized thrombus adherent to the pulmonary artery walls. Which of the following is the most likely diagnosis?
- A)Pulmonary veno-occlusive disease
- B)Recurrent acute pulmonary embolism
- C)Primary pulmonary arterial hypertension
- D)Right-sided heart failure from ischemic cardiomyopathy
- E)Chronic thromboembolic pulmonary hypertensionGABARITO
Explicação
Chronic thromboembolic pulmonary hypertension (CTEPH) develops in approximately 2 to 4% of patients after acute PE. It is characterized by organized, adherent thrombus in the pulmonary arteries leading to fixed pulmonary vascular obstruction and progressive pu... Ver explicação completa e trilha adaptativa →