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?

  1. A)Pulmonary veno-occlusive disease
  2. B)Recurrent acute pulmonary embolism
  3. C)Primary pulmonary arterial hypertension
  4. D)Right-sided heart failure from ischemic cardiomyopathy
  5. 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 →

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