Chronic Thromboembolic Pulmonary Hypertension and Bronchopneumonia in an Elderly Patient with Comorbidities

This case study presents an 87-year-old male with a complex medical history, including chronic thromboembolic pulmonary hypertension (CTEPH), bronchopneumonia, deep vein thrombosis (DVT), and bronchial asthma.The patient experienced worsening shortness of breath, intermittent wheezing, dry cough, and fever.Diagnostic assessments, including HRCT chest imaging, confirmed right lobar pneumonia, pulmonary arterial hypertension (PAH), and small thrombi.A multidisciplinary approach was employed, involving intravenous antibiotics, mucolytics, bronchodilators, oxygen support, and anticoagulation therapy with Apixaban.The patient showed clinical improvement, reflected in decreasing inflammatory markers and stabilisation of pulmonary function.He was discharged with continued home oxygen therapy, nebulisation, and anticoagulation management.This case emphasises the challenges of managing elderly patients with overlapping respiratory and thromboembolic conditions.Long-term follow-up is necessary to prevent recurrence of infections and manage CTEPH progression, highlighting the importance of comprehensive care in geriatric patients with complex comorbidities.