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Chronic Pulmonary Thromboembolic Disease
Carlos S. Restrepo, MD; Helen T. Winer-Muram, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Chronic thromboembolic pulmonary hypertension (CTEPH)
                • Pulmonary embolism (PE)
              • Synonyms

                • Chronic pulmonary arterial thromboembolic disease
              • Definitions

                • Thromboemboli organization after acute PE with resultant pulmonary vascular obstruction/obliteration

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Echocardiographic Findings

                        • Angiographic Findings

                          • Nuclear Medicine Findings

                            • Imaging Recommendations

                              DIFFERENTIAL DIAGNOSIS

                                PATHOLOGY

                                • General Features

                                  • Gross Pathologic & Surgical Features

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Demographics

                                        • Natural History & Prognosis

                                          • Treatment

                                            DIAGNOSTIC CHECKLIST

                                            • Consider

                                              • Image Interpretation Pearls

                                                Selected References

                                                1. Klok FA et al: Diagnosis of chronic thromboembolic pulmonary hypertension after acute pulmonary embolism. Eur Respir J. 55(6), 2020
                                                2. Ranka S et al: Chronic thromboembolic pulmonary hypertension-management strategies and outcomes. J Cardiothorac Vasc Anesth. 34(9):2513-23, 2020
                                                3. Albani S et al: Chronic thromboembolic pulmonary hypertension (CTEPH): what do we know about it? A comprehensive review of the literature. J Cardiovasc Med (Hagerstown). 20(4):159-68, 2019
                                                4. Nishiyama KH et al: Chronic pulmonary embolism: diagnosis. Cardiovasc Diagn Ther. 8(3):253-71, 2018
                                                5. Fernandes T et al: From acute to chronic thromboembolic disease. Ann Am Thorac Soc. 13 Suppl 3:S207-14, 2016
                                                6. Grosse C et al: CT findings in diseases associated with pulmonary hypertension: a current review. Radiographics. 30(7):1753-77, 2010
                                                7. Nikolaou K et al: Diagnosing pulmonary embolism: new computed tomography applications. J Thorac Imaging. 25(2):151-60, 2010
                                                8. Coulden R: State-of-the-art imaging techniques in chronic thromboembolic pulmonary hypertension. Proc Am Thorac Soc. 3(7):577-83, 2006
                                                9. Hoeper MM et al: Chronic thromboembolic pulmonary hypertension. Circulation. 113(16):2011-20, 2006
                                                10. Lang I et al: Risk factors for chronic thromboembolic pulmonary hypertension. Proc Am Thorac Soc. 3(7):568-70, 2006
                                                11. Reddy GP et al: Imaging of chronic thromboembolic pulmonary hypertension. Semin Roentgenol. 40(1):41-7, 2005
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Terminology

                                                  • Imaging

                                                    • Top Differential Diagnoses

                                                      • Pathology

                                                        • Clinical Issues

                                                          • Diagnostic Checklist

                                                            TERMINOLOGY

                                                            • Abbreviations

                                                              • Chronic thromboembolic pulmonary hypertension (CTEPH)
                                                              • Pulmonary embolism (PE)
                                                            • Synonyms

                                                              • Chronic pulmonary arterial thromboembolic disease
                                                            • Definitions

                                                              • Thromboemboli organization after acute PE with resultant pulmonary vascular obstruction/obliteration

                                                            IMAGING

                                                            • General Features

                                                              • Radiographic Findings

                                                                • CT Findings

                                                                  • MR Findings

                                                                    • Echocardiographic Findings

                                                                      • Angiographic Findings

                                                                        • Nuclear Medicine Findings

                                                                          • Imaging Recommendations

                                                                            DIFFERENTIAL DIAGNOSIS

                                                                              PATHOLOGY

                                                                              • General Features

                                                                                • Gross Pathologic & Surgical Features

                                                                                  CLINICAL ISSUES

                                                                                  • Presentation

                                                                                    • Demographics

                                                                                      • Natural History & Prognosis

                                                                                        • Treatment

                                                                                          DIAGNOSTIC CHECKLIST

                                                                                          • Consider

                                                                                            • Image Interpretation Pearls

                                                                                              Selected References

                                                                                              1. Klok FA et al: Diagnosis of chronic thromboembolic pulmonary hypertension after acute pulmonary embolism. Eur Respir J. 55(6), 2020
                                                                                              2. Ranka S et al: Chronic thromboembolic pulmonary hypertension-management strategies and outcomes. J Cardiothorac Vasc Anesth. 34(9):2513-23, 2020
                                                                                              3. Albani S et al: Chronic thromboembolic pulmonary hypertension (CTEPH): what do we know about it? A comprehensive review of the literature. J Cardiovasc Med (Hagerstown). 20(4):159-68, 2019
                                                                                              4. Nishiyama KH et al: Chronic pulmonary embolism: diagnosis. Cardiovasc Diagn Ther. 8(3):253-71, 2018
                                                                                              5. Fernandes T et al: From acute to chronic thromboembolic disease. Ann Am Thorac Soc. 13 Suppl 3:S207-14, 2016
                                                                                              6. Grosse C et al: CT findings in diseases associated with pulmonary hypertension: a current review. Radiographics. 30(7):1753-77, 2010
                                                                                              7. Nikolaou K et al: Diagnosing pulmonary embolism: new computed tomography applications. J Thorac Imaging. 25(2):151-60, 2010
                                                                                              8. Coulden R: State-of-the-art imaging techniques in chronic thromboembolic pulmonary hypertension. Proc Am Thorac Soc. 3(7):577-83, 2006
                                                                                              9. Hoeper MM et al: Chronic thromboembolic pulmonary hypertension. Circulation. 113(16):2011-20, 2006
                                                                                              10. Lang I et al: Risk factors for chronic thromboembolic pulmonary hypertension. Proc Am Thorac Soc. 3(7):568-70, 2006
                                                                                              11. Reddy GP et al: Imaging of chronic thromboembolic pulmonary hypertension. Semin Roentgenol. 40(1):41-7, 2005