Symptoms Are More Useful Than Echocardiography in Patient Selection for Pulmonary Endarterectomy Laura Donahoe, MD, Rachel Vanderlaan, MD, John Thenganatt,

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Symptoms Are More Useful Than Echocardiography in Patient Selection for Pulmonary Endarterectomy Laura Donahoe, MD, Rachel Vanderlaan, MD, John Thenganatt, MD, Karen McRae, MD, Anastasia Bykova, NP, Jakov Moric, MD, John Granton, MD, Marc de Perrot, MD The Annals of Thoracic Surgery Volume 104, Issue 4, Pages 1179-1185 (October 2017) DOI: 10.1016/j.athoracsur.2017.05.024 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Outcome of patients referred to the CTEPH clinic. (CTED = chronic thromboembolic disease; CTEPH = chronic thromboembolic pulmonary hypertension; echo = echocardiogram; PEA = pulmonary endarterectomy; PH = pulmonary hypertension; RHC = right heart catheterization; RSVP = right ventricular systolic pressure; TTE-neg = negative transthoracic echocardiogram; VQ = ventilation–perfusion.) The Annals of Thoracic Surgery 2017 104, 1179-1185DOI: (10.1016/j.athoracsur.2017.05.024) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Change in mean PA pressure after PEA in (A) 14 patients with CTED, (B) 13 patients with TTE-neg CTEPH, and (C) 152 patients with typical CTEPH. (CTED = chronic thromboembolic disease; CTEPH = chronic thromboembolic pulmonary hypertension; PA = pulmonary arterial; PEA = pulmonary endarterectomy; Preop = preoperative; Postop = postoperative; TTE-neg = negative transthoracic echocardiogram.) The Annals of Thoracic Surgery 2017 104, 1179-1185DOI: (10.1016/j.athoracsur.2017.05.024) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Long-term survival after pulmonary endarterectomy in typical CTEPH patients (n = 152), TTE-neg CTEPH patients (n = 13), and CTED patients (n = 14). (CTED = chronic thromboembolic disease; CTEPH = chronic thromboembolic pulmonary hypertension; TTE-neg = negative transthoracic echocardiogram.) The Annals of Thoracic Surgery 2017 104, 1179-1185DOI: (10.1016/j.athoracsur.2017.05.024) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions