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Abstract

Pulmonary endarterectomy (PEA) is a standard treatment for chronic thromboembolic pulmonary hypertension (CTEPH). CTEPH combined with bronchial obstruction by a tumor is rare but should be assessed carefully because PEA for obstructed segments can be less therapeutic and make the subsequent surgical resection challenging. This report describes a case of CTEPH with bronchial obstruction by a typical carcinoid tumor in a 75‐year‐old man. On‐site evaluation and removal of the obstructive tumor were performed bronchoscopically, increasing the effectiveness of subsequent PEA for all affected pulmonary segments. This report illustrates a PEA strategy to treat CTEPH with bronchial tumor obstruction.

Keywords: bronchoscopic intervention, lung cancer, Thoracic surgery

Abbreviations

BPA

balloon pulmonary angioplasty

CTEPH

chronic thromboembolic pulmonary hypertension

PA

pulmonary artery

PEA

pulmonary endarterectomy

INTRODUCTION

Pulmonary endarterectomy (PEA)