Hipertensión pulmonar crónica tromboembólica
Hipertensión pulmonar crónica tromboembólica
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La hipertensión pulmonar crónica tromboembólica (HPCTE), también conocida como tromboembolismo pulmonar crónico no resuelto, es una forma poco común de tromboembolismo pulmonar. Hasta hace muy poco era considerada una rara curiosidad de autopsia, pero a medida que los métodos diagnósticos han mejorado y nuestra actitud hacia la enfermedad tromboembólica pulmonar ha cambiado, la incidencia de esta entidad nosológica ha experimentado un notable incremento. Pero quizá lo más relevante de esta enfermedad es que se trata de una forma de hipertensión pulmonar crónica potencialmente corregible.
Cada año en Estados Unidos se diagnostican hasta 2500 casos, lo cual representa entre el 0.1 a 0.5 por ciento de todos los pacientes que sobreviven a un evento embólico pulmonar. En nuestro medio no existen registros de esta enfermedad, como tampoco existen antecedentes de su manejo, que es quirúrgico. En realidad su manejo requiere un enfoque multidisciplinario, que involucra a cirujanos, neumólogos, intensivistas, cardiólogos, anestesiólogos y radiólogos.
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