CTICasesPulmonary Hypertension and Thromboendarterectomy
Imaging findings
Cardiac MRI shows right ventricular dilation, hypertrophy, and systolic D-shaped septal flattening, indicating severe pulmonary hypertension. Contrast CT shows extensive distal segmental and subsegmental chronic thromboembolic disease. Post-operative MRI shows resolution of septal flattening and hypertrophy following thromboendarterectomy.
Key takeaways
Chronic thromboembolic pulmonary hypertension (CTEPH) can be successfully treated with surgical pulmonary thromboendarterectomy (PTE). Cardiac MRI is a powerful non-invasive tool to assess right ventricular remodeling, septal flattening, and functional recovery pre- and post-intervention.
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