Mangaluru: A 38-year-old male patient admitted to Father Muller Medical College and Hospital after being diagnosed with right lower limb deep vein thrombosis (DVT) has been successfully treated. He had a history of breathlessness, and his oxygen saturation at rest was less than 80% on room air, requiring continuous oxygen through a face mask.According to the hospital, he was further evaluated to determine the cause of his desaturation through a detailed 2D echocardiography performed by Dr Prabhakar H, interventional cardiologist. The evaluation revealed severe pulmonary arterial hypertension (PAH) with severe right-sided valvular leak (TR), an indirect indication of chronic thromboembolic pulmonary hypertension (CTEPH). The diagnosis was confirmed by computed tomography pulmonary angiography (CTPA).CTPA revealed complete occlusion of the left pulmonary artery with no blood flow to the left lung, indicating a chronic left pulmonary thromboembolism associated with a severe, complex, and life-threatening cardiopulmonary condition. Given the severity of the disease and the risk of progressive heart and lung failure, the medical team opted for definitive surgical intervention. The patient underwent a left surgical pulmonary thromboembolectomy under total circulatory arrest last month, performed under general anaesthesia. The procedure required advanced surgical expertise and meticulous perioperative coordination.Following surgery, the patient was managed in ICU. At present, the patient is off oxygen and maintains an oxygen saturation of 95%.
