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Pulmonary Endarterectomy: A Stepwise Approach

      Chronic thromboembolic pulmonary hypertension (CTEPH) is an underdiagnosed complication of acute pulmonary embolism that is potentially curable with pulmonary thromboendarterectomy (PTE). Proper patient selection within the scope of a multidisciplinary team and detailed preoperative imaging is essential for successful outcomes. The operation itself is technically demanding and requires complete, bilateral endarterectomy down to the subsegmental branches on cardiopulmonary bypass with brief periods of deep hypothermic circulatory arrest. Finally, postoperative care is unique for PTE patients and is best conducted within the care of a multidisciplinary team.

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