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This photo was taken during a thromboendarterectomy for treatment of chronic thromboembolic pulmonary hypertension (CTEPH).

Surgery is the only definitive therapy for this condition, which occurs in a small proportion of acute pulmonary embolism patients. Patients with CTEPH usually present with progressive dyspnea and exercise intolerance, and will often report additional symptoms of right ventricular dysfunction, such as peripheral edema, exertional chest pain, syncope, or pre-syncope. 


Photo credit: Sean Love/Figure 1 Medical Images

To see more cases like this, visit Figure 1.

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