About Pulmonary Thromboendarterectomy
Key Highlights
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Curative potential for Chronic Thromboembolic Pulmonary Hypertension (CTEPH).Significantly improves symptoms like shortness of breath and fatigue.Enhances exercise capacity and quality of life.Reduces or eliminates the need for lifelong pulmonary hypertension medications.Improves right heart function and can reverse heart failure.Performed at highly specialized centers with multidisciplinary teams./ul
Who is this surgery for?
- Confirmed diagnosis of Chronic Thromboembolic Pulmonary Hypertension (CTEPH).
- Significant, symptomatic pulmonary hypertension despite at least 3 months of anticoagulation therapy.
- Clots located in surgically accessible areas of the pulmonary arteries (main, lobar, or segmental).
- Significant impairment in exercise capacity and quality of life (NYHA Functional Class III or IV).
- Evidence of right heart strain or failure due to high pulmonary pressures.
- Failure or intolerance to medical therapy for pulmonary hypertension.
How to prepare
- Comprehensive diagnostic workup including right heart catheterization, V/Q scan, and CT pulmonary angiography.
- Detailed imaging to map the location and accessibility of chronic clots (often with pulmonary angiography).
- Pre-operative optimization of heart and lung function.
- Discontinuation of blood thinners (anticoagulants) as directed by the surgical team.
- Pre-operative counseling with the cardiac surgeon, pulmonologist, and anesthesiologist.
- Fasting for 8-12 hours before the surgery.
Risks & possible complications
- Bleeding and need for blood transfusion.
- Infection at the surgical site or in the lungs (pneumonia).
- Stroke or neurological injury due to circulatory arrest.
- Reperfusion pulmonary edema (fluid buildup in lungs after blood flow is restored).
- Persistent or recurrent pulmonary hypertension.
- Heart rhythm abnormalities (arrhythmias).
- Kidney dysfunction.
- Rarely, death.
Recovery & hospital stay
- Initial recovery in the Intensive Care Unit (ICU) for close monitoring of heart, lung, and neurological function.
- Use of a breathing tube and ventilator for 1-2 days post-surgery.
- Aggressive management of lung fluid (reperfusion edema) with diuretics.
- Gradual mobilization with physical therapy to rebuild strength.
- Lifelong anticoagulation (blood thinners) to prevent new clots.
- Regular follow-up with the cardiology and pulmonology team for echocardiograms and functional assessments.
- Pulmonary rehabilitation program to maximize lung recovery and exercise tolerance.
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Typical hospital stay: 10-21 days
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Expected recovery time: 3-6 months for full functional recovery
Frequently Asked Questions
If you are considering pulmonary thromboendarterectomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for pulmonary thromboendarterectomy in India include Miot Hospital Chennai, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform pulmonary thromboendarterectomy. MediFyr helps you compare cardiac surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for pulmonary thromboendarterectomy compare across other countries where we have data.
Top hospitals for Pulmonary Thromboendarterectomy in India
These partner hospitals in India have dedicated cardiac surgery teams and experience managing patients undergoing pulmonary thromboendarterectomy.
Sara Gupta, a 42-year-old high school...
Sara Gupta, a 42-year-old high school biology teacher and mother of two, had always been active. For over a year, she battled a mysterious and terrifying decline. Simple tasks like climbing the stairs to her classroom left her gasping for air, her lips turning blue. She was constantly exhausted, and her legs were perpetually swollen. After numerous misdiagnoses of asthma and anxiety, a CT scan at a major medical center revealed the culprit: chronic thromboembolic pulmonary hypertension (CTEPH). Scarred blood clots from a past, unnoticed deep vein thrombosis were blocking the arteries in her lungs, causing her heart to fail. Her cardiologist explained that medication could only manage symptoms; a pulmonary thromboendarterectomy (PTE) was her only chance for a cure. The idea of open-heart surgery was terrifying, but the thought of leaving her children motherless was worse. The surgery, under deep hypothermia and circulatory arrest, was a grueling 8-hour ordeal for her family. The initial days in the ICU were difficult, but within a week, she took her first deep, clear breath in years. After three months of cardiac rehabilitation, Sara returned to teaching. Her emotional journey was from the despair of a slow suffocation to the profound gratitude of a second chance at life, now filled with energy for her family and students.
Cardiac surgeons for Pulmonary Thromboendarterectomy
Explore experienced cardiac surgeons who regularly perform pulmonary thromboendarterectomy and provide pre- and post-operative care in India.
- 31 Years Experience
- Pediatric Cardiac surgeon
Miot Hospital Chennai, Chennai
- 37 Years Experience
- Cardiac surgeon
Miot Hospital Chennai, Chennai
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- Cardiac surgeon
- 31 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 16 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Vijayawada, vijayawada
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Malleshwaram, Bangalore
- 37 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 8 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 17 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore