Key result
Pulmonary thromboendarterectomy drives marked hemodynamic recovery in a CTEPH patient with an unrecognized early pregnancy.
Why the study?
Chronic thromboembolic pulmonary hypertension is a rare, potentially curable form of pulmonary hypertension, but data regarding CTEPH in pregnancy are limited.
Case Report (n=1)
This case highlights the diagnostic challenges of CTEPH in women of reproductive age and the impact of pregnancy-related hemodynamic stress on disease presentation.
Answers are grounded in this paper and cite their sources.
May warrant pregnancy testing before CTEPH surgery in reproductive-age women; leaves open optimal peripartum management strategies.
Chronic thromboembolic pulmonary hypertension (CTEPH) is a rare, potentially curable form of pulmonary hypertension, with limited data in pregnancy. We describe a 37‐year‐old woman with progressive dyspnea, back pain, and cough, whose evaluation revealed severe right ventricular enlargement, high pulmonary pressures, and extensive V/Q mismatches, confirming CTEPH. She underwent successful pulmonary thromboendarterectomy with marked hemodynamic recovery. An unrecognized early pregnancy, later confirmed after spontaneous miscarriage at 14 weeks, complicated the course. This case underscores the diagnostic challenges of CTEPH in women of reproductive age and highlights the impact of pregnancy‐related hemodynamic stress on disease presentation.
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Ahangar et al. (2026) conducted a case report in Chronic thromboembolic pulmonary hypertension (CTEPH) (n=1). Pulmonary thromboendarterectomy was evaluated. Pulmonary thromboendarterectomy led to marked hemodynamic recovery in a 37-year-old woman with chronic thromboembolic pulmonary hypertension and an unrecognized early pregnancy.
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