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Correspondence
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Volume 346:866 March 14, 2002 Number 11
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Chronic Thromboembolic Pulmonary Hypertension

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To the Editor: Fedullo et al. (Nov. 15 issue)1 provide a concise review of the pathophysiology, diagnosis, and surgical treatment of chronic thromboembolic pulmonary hypertension. Because many of my patients with this disorder have multiple medical problems, they are at high risk for complications from angiography and are not candidates for thromboendarterectomy. Could the authors comment on the use of magnetic resonance angiography as a noninvasive diagnostic method2,3 and the use of anticoagulants, diuretics, and vasodilators for the treatment (albeit mainly symptomatic) of this disorder?


Donald N. Arents, Jr., M.D.
219 Palermo Pl.
Venice, FL 34285
thedaps@aol.com

References

  1. Fedullo PF, Auger WR, Kerr KM, Rubin LJ. Chronic thromboembolic pulmonary hypertension. N Engl J Med 2001;345:1465-1472. [Free Full Text]
  2. Wolff K, Bergin CJ, King MA, et al. Accuracy of contrast-enhanced magnetic resonance angiography in chronic thromboembolic disease. Acad Radiol 1996;3:10-17. [CrossRef][Web of Science][Medline]
  3. Bergin CJ, Hauschildt J, Rios G, Belezzuoli EV, Huynh T, Channick RN. Accuracy of MR angiography compared with radionuclide scanning in identifying the cause of pulmonary arterial hypertension. AJR Am J Roentgenol 1997;168:1549-1555. [Free Full Text]
 
Dr. Rubin replies:

. . . [Full Text of this Article]



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