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Case Reports in Pulmonology
Volume 2012, Article ID 108672, 3 pages
Case Report

Chronic Thromboembolic Pulmonary Hypertension: Treat the Patient Not the Haemodynamics

1Advanced Lung Disease and Transplant Unit, Royal Perth Hospital, Perth, WA 6000, Australia
2Erasmus University, Rotterdam, The Netherlands
3Women's and Children's Hospital, Adelaide, SA 5006, Australia
4Department of Cardiothoracic Surgery, Royal Perth Hospital, Perth, WA 6000, Australia

Received 4 September 2012; Accepted 2 October 2012

Academic Editors: M. Berman and J. Murchison

Copyright © 2012 Ben Dunne et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Chronic thromboembolic pulmonary hypertension (CTEPH) is a disabling condition that is being increasingly recognised. It is unique as a cause of pulmonary hypertension in that it is surgically curable. We wish to highlight the importance of recognition and early referral of any patient who may have CTEPH even in the absence of resting pulmonary hypertension as excellent results can be achieved by restoring pulmonary vascular anatomy, reducing exercise-induced pulmonary hypertension, and reducing dead-space ventilation. We present a case that illustrates these points and discuss our experience as a referral centre for CTEPH.