CTICasesType 3 chronic thromboembolic pulmonary hypertension (CTEPH)
Imaging findings
Chest radiograph shows irregular, abnormal pulmonary vessels and cardiomegaly. CT shows mosaic perfusion and right ventricular hypertrophy. Pulmonary endarterectomy retrieved very little central clot, confirming type 3 disease (predominantly small vessel disease).
Key takeaways
CTEPH is classified into types based on the location of the thromboembolic disease. Type 3 represents distal, small-vessel disease where surgical endarterectomy has limited utility, and patients may not experience significant hemodynamic benefit compared to type 1 or 2 central disease.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Anti-synthetase syndrome with acute fulminant lung injuryAutoimmune
- Disseminated coccidioidomycosis in a renal transplant recipientInfection
- Left lower lobe atelectasis mimicking pleural effusionOther
- Disseminated plasmacytomas causing small bowel intussusceptionNeoplastic
- Aortic graft thrombus following debranching surgeryIatrogenic
- Massive non-occlusive thrombus lining native aortaVascular
- Right middle lobe torsion following right upper lobectomyIatrogenic
- Tricuspid valve endocarditis with septic emboliInfection
See all cases from September 6, 2019 →
Related Vascular cases
- Pulmonary veno-occlusive disease (PVOD) with pulmonary venous thrombosis
- Hepatopulmonary syndrome
- Aortic valve thrombus causing myocardial infarction in protein S deficiency
- Subclavian artery aneurysm secondary to dialysis access
- Coronary artery aneurysm from childhood Kawasaki disease
- Coronary artery spasm mimicking high-grade stenosis on CTA