A Case Report of Pulmonary Endarterectomy in a Tertiary Care Hospital in Eastern India

Pulmonary endarterectomy (PEA) is the preferred surgical treatment for patients with chronic thromboembolic pulmonary hypertension (CTEPH), aimed at removing obstructive thromboembolic material from pulmonary arteries, thereby reducing pulmonary vascular resistance, alleviating pulmonary hypertension, and improving right ventricular function. This case report discusses a 23-yearold female with antiphospholipid syndrome, presenting with symptoms such as shortness of breath, pedal edema, and jaundice. Diagnostic evaluations revealed severe pulmonary hypertension and chronic thrombosis. The patient underwent successful bilateral PEA, resulting in significant clinical improvement. The case underscores the importance of careful patient selection, meticulous surgical planning, and postoperative management in achieving favorable outcomes in CTEPH treatment.