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A clinical example of chronic thromboembolic pulmonary hypertension in a young woman

https://doi.org/10.17021/1992-6499-2025-1-68-75

Abstract

Chronic thromboembolic pulmonary hypertension is a pathology in which obstruction of the branches of the pulmonary arteries occurs as a result of recurrent thromboembolism and secondary vasculopathy in small vessels. Without treatment, this disease can lead to insufficiency of the right ventricle and, as a result, to premature death. Surgical pulmonary artery thrombendarterectomy is the main method of choice for lesions of the main and lobar branches of the pulmonary artery. With distal lesions in the branches of the pulmonary artery, transluminal balloon angioplasty of segmental and subsegmental thromboembolic lesions of the branches of the pulmonary artery is possible. The diagnosis of chronic pulmonary embolism is extremely rare, and this is due to the difficulty of diagnosing this disease, as well as the lack of awareness among doctors about this pathology and the possibilities of its modern treatment. The presented clinical example demonstrates.

About the Authors

L. A. Biryukova
Federal Center for Cardiovascular Surgery
Russian Federation

Lyubov A. Biryukova, Cand. Sci. (Med.), Cardiologist

Astrakhan



O. V. Petrova
Federal Center for Cardiovascular Surgery; Astrakhan State Medical University
Russian Federation

Olga V. Petrova, Dr. Sci. (Med), Head of the Clinical Diagnostic Laboratory

Astrakhan



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Biryukova L.A., Petrova O.V. A clinical example of chronic thromboembolic pulmonary hypertension in a young woman. Astrakhan medical journal. 2025;20(1):68-75. (In Russ.) https://doi.org/10.17021/1992-6499-2025-1-68-75

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ISSN 1992-6499 (Print)