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Is Cteph Curable? [5 ANSWERS FOUND]

If the clots are accessible, and you are able to withstand surgery, the treatment of choice is surgical pulmonary thromboendarterectomy (PTE), also called pulmonary endarterectomy (PEA). During this surgery, done through an incision (cut) in the breastbone, you are put on a heart-lung machine and cooled from 37 degrees Celsius to 18 degrees Celsius 🙌 After cooling happens, the circulation is stopped 🔥 This lets the surgeon look into the arteries of the lungs 😎 Surgeons use special tools to carefully separate the clots from the normal wall of the artery 😊 This delicate surgery should be done by a specialist team with experience. In these circumstances, the surgery is safe and can cure this disease. [1]
The medical community is still making inroads into understanding CTEPH, and as the only place in North Texas that provides treatment for the disease, UT Southwestern is at the forefront of that discovery. In 2016, we’re beginning offering patients two main treatment options. One patient in her 40s, for example, was a former college athlete and had experienced a decline in her ability to exercise and even do things around the house. We hade had her undergo tests and determined she’s havingaving CTEPH. After undergoing surgery, the pressure in her lungs went from abnormally high to healthy, and today she feels great and is running again. [2]
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Further content from err.ersjournals.com also proves the way that chronic thromboembolic pulmonary hypertension (CTEPH) is a distinct subtype of pulmonary hypertension (PH). One disease hypothesis is that CTEPH results from the non-resolution of venous thromboembolism. CTEPH is characterised by the presence of obstructive fibrotic thromboembolic material in the major pulmonary vessels, with concomitant microvascular arteriopathy, resulting in progressive PH. The clinical presentation of CTEPH is similar to pulmonary arterial hypertension with nonspecific symptoms, but it is distinguished from pulmonary arterial hypertension by the presence of mismatched segmental defects on the ventilation/perfusion scan. The exact prevalence and incidence of CTEPH are unknown, but are thought to have been underestimated in the past. CTEPH is unique among the subgroups of PH in that it is potentially curable with pulmonary endarterectomy, a surgical intervention intended to remove the occlusive material from the pulmonary vasculature. However, in some patients the obstructions are technically inaccessible or the risk/benefit ratios are unfavourable, making the condition inoperable. It is thoughtught that the involvement of the smaller, more distal vessels is a target for medical treatment. Untreated, CTEPH may result in right heart failure and death. The pathophysiological mechanisms which cause CTEPH are complex and have not yet been fully elucidated. (a huge thank you goes to Madara Hidalgo for letting us know). [3]
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PH is high blood pressure in the arteries of the lungs. After your blood carries oxygen to the tissues in your body, it returns to the right side of the heart. The right heart then pumps blood into your lungs to get oxygenated again. The pressure that the right heart pumps against is called the pulmonary pressure, and PH occurs when this pressure is too high. If PH is left unattended, the right heart has to work much harder to pump blood to the lungs. This increased workload on the heart can cause shortness of breath and make it difficult to walk, climb stairs, do housework, etc. (revised by Tova Dent on December 25, 2021) [4]
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Article References

  1. https://my.clevelandclinic.org/health/diseases/17635-chronic-thromboembolic-pulmonary-hypertension-cteph
  2. https://utswmed.org/medblog/cteph-treatment/
  3. https://err.ersjournals.com/content/24/136/246
  4. https://natfonline.org/2020/06/understanding-cteph/
Mae Chow

Written by Mae Chow

Passionate about writing and studying Chinese, I blog about anything from fashion to food. And of course, study chinese! I'm a passionate blogger and life enthusiast who loves to share my thoughts, views and opinions with the world. I share things that are close to my heart as well as topics from all over the world.

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