Key result
Lifelong medical therapy treats inoperable CTEPH in a 36-year-old woman following preeclampsia and C-section.
Why the study?
CTEPH is a serious medical condition that is severely underdiagnosed due to nonspecific symptoms and lack of diagnostic tools.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
Highlights the importance of considering CTEPH in young women presenting with dyspnea and fatigue after pregnancy complications like preeclampsia and caesarian section.
Chronic thromboembolic pulmonary hypertension (CTEPH) is one of subgroups of pulmonary hypertension. This is a serious medical condition that severely under diagnosed. CTEPH is commonly underdiagnosed due to non specific symptoms and lack of diagnostic tools. The aim of this presentation is to discuss the etiology, risk factors, diagnosis and management of CTEPH. A 36-year-old woman presented with easily fatigue and dyspneu on effort since two years ago. The symptom occured about three months after she gave birth with caesarian section due to preeclampsia. Further history taking, physical examination, electrocardiography (ECG) and echocardiography were highly suggestive of pulmonary hypertension. No deep vein thrombosis (DVT) was found on vascular femoral sonography. It was found after the lung perfusion scintigraphy performed that she actually had CTEPH. This patient was categorized as inoperable because CT pulmonary angiography showed no thrombus. The patient got pulmonary vasodilator and oral anticoagulant for lifelong.
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Asbarinsyah et al. (2015) conducted a case report in Chronic thromboembolic pulmonary hypertension (CTEPH) (n=1). Pulmonary vasodilator and oral anticoagulant was evaluated. A 36-year-old woman with a history of preeclampsia and caesarian section was diagnosed with inoperable chronic thromboembolic pulmonary hypertension and treated with lifelong medical therapy.
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