Pulmonary angiography in the right lung (a, c, e and g) and the left lung (b, d, f and h) of a patient with chronic thromboembolic pulmonary hypertension.

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Pulmonary angiography in the right lung (a, c, e and g) and the left lung (b, d, f and h) of a patient with chronic thromboembolic pulmonary hypertension. Pulmonary angiography in the right lung (a, c, e and g) and the left lung (b, d, f and h) of a patient with chronic thromboembolic pulmonary hypertension. The first image (a–d) was taken at a non-specialist centre with suboptimal vascular opacificaiton and the patient was considered inoperable. The second pulmonary angiography (e–h) was undertaken at a specialist surgical centre with selective angiography showing proximal disease, and resulted in the patient receiving successful pulmonary endarterectomy surgery. a, b, e, f) Anterior view and c, d, g, h) lateral views. D. Jenkins et al. Eur Respir Rev 2012;21:32-39 ©2012 by European Respiratory Society