# The Surgical Management of Chronic Thromboembolic Pulmonary Hypertension

## TL;DR

This paper reviews the surgical treatment of a type of high blood pressure in the lungs caused by blood clots.

## Contribution

The paper provides a detailed review of the surgical approach and management for CTEPH patients.

## Key findings

- Pulmonary thromboendoarterectomy is the standard treatment for CTEPH.
- The surgery leads to significant improvements in symptoms and function.
- The paper outlines diagnostic and postoperative care strategies.

## Abstract

Chronic thromboembolic pulmonary hypertension (CTEPH) is a type of pulmonary hypertension due to unresolved thromboembolic disease that presents with signs of pulmonary artery obstruction and right heart dysfunction. Pulmonary thromboendoarterectomy (PTE) with deep hypothermic circulatory arrest remains the standard of care for the treatment of CTEPH, with significant improvements in symptoms and functional status after surgery. This review outlines the diagnostic workup, considerations during operative planning, surgical technique, and postoperative management of CTEPH patients.