Balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension due to septic emboli

Zachary L Steinberg; Samuel G Rayner; Peter J Leary

doi:10.1002/ccd.30919

Balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension due to septic emboli

Catheter Cardiovasc Interv. 2024 Jan;103(1):115-118. doi: 10.1002/ccd.30919. Epub 2023 Nov 22.

Authors

Zachary L Steinberg¹, Samuel G Rayner², Peter J Leary^{2

3}

Affiliations

¹ Division of Cardiology, University of Washington, Seattle, Washington, USA.
² Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington, Seattle, Washington, USA.
³ Department of Epidemiology, University of Washington, Seattle, Washington, USA.

PMID: 37994384
DOI: 10.1002/ccd.30919

Abstract

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.

Keywords: BALA-balloon angioplasty; PANGI-pulmonary angiography; PHTN-pulmonary hypertension.

Publication types

Case Reports

MeSH terms

Adult
Angioplasty, Balloon*
Chronic Disease
Female
Humans
Hypertension, Pulmonary* / diagnostic imaging
Hypertension, Pulmonary* / etiology
Hypertension, Pulmonary* / therapy
Pulmonary Artery
Pulmonary Embolism* / complications
Pulmonary Embolism* / diagnostic imaging
Treatment Outcome