Division of Cardiology, University of Washington, Seattle, Washington, USA.
Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington, Seattle, Washington, USA.
Catheter Cardiovasc Interv. 2024 Jan;103(1):115-118. doi: 10.1002/ccd.30919. Epub 2023 Nov 22.
We present the case of a 28-year-old woman with a history of tricuspid valve endocarditis leading to chronic thromboembolic pulmonary hypertension (CTEPH) with multiple pulmonary artery chronic total occlusions (CTOs) due to septic emboli. Following a multidisciplinary care discussion, the patient was brought forward for balloon pulmonary angioplasty (BPA) with successful revascularization of all chronically occluded territories. This case highlights advances in pulmonary artery CTO interventions and demonstrates the feasibility of BPA for CTEPH patients with a history of septic emboli.
我们报告了一例 28 岁女性病例，该患者患有三尖瓣心内膜炎，导致慢性血栓栓塞性肺动脉高压（CTEPH），由于脓毒性栓子导致多发性肺动脉慢性完全闭塞（CTO）。经过多学科护理讨论，该患者接受了球囊肺动脉血管成形术（BPA），所有慢性闭塞区域均成功再通。该病例突出了肺动脉 CTO 干预方面的进展，并证明了 BPA 对有脓毒性栓塞史的 CTEPH 患者的可行性。
