Pulmonary Endarterectomy is a specialized surgery to remove long-standing blood clots from the arteries in the lungs. These clots can strain the heart and reduce oxygen levels. By clearing the blockages, the surgery restores normal blood flow, improves breathing, and significantly enhances quality of life in patients with chronic thromboembolic pulmonary hypertension (CTEPH).
The standard procedure involves deep hypothermia and circulatory arrest to safely remove clots from the lung arteries. This traditional approach is used for advanced cases. In certain early-stage or less severe conditions, some hospitals may use minimally invasive surgical techniques, though these are not yet widely adopted and are available only at select centers.
Pulmonary Endarterectomy is primarily performed to treat Chronic Thromboembolic Pulmonary Hypertension (CTEPH). This condition develops when blood clots in the lungs often from previous pulmonary embolism episodes fail to dissolve completely. Over time, these unresolved clots harden and block the arteries, increasing pressure on the lungs and heart. Surgery is necessary to remove these obstructions and restore circulation.
Patients may experience shortness of breath during simple activities, swelling in the ankles or legs, persistent fatigue, chest discomfort, or even fainting spells. These symptoms often point to chronic blood clots obstructing the lungs’ arteries. If left untreated, this condition can worsen over time and lead to life-threatening heart complications, requiring surgical intervention.
Pulmonary Endarterectomy involves surgically removing organized clots from the lungs’ arteries under general anesthesia. The patient is placed on a heart-lung machine, and the body is cooled to protect organs. Once clots are cleared, normal circulation resumes. Performed at expert centers, this procedure dramatically improves breathing capacity and long-term survival in suitable patients.
Doctors use a combination of imaging tests and clinical evaluation to confirm the need for surgery. CT pulmonary angiography identifies clots in the lung arteries. Echocardiography assesses heart function. Pulmonary angiogram provides detailed views of blockages. Right heart catheterization measures pressure in the lung arteries to determine the severity and guide treatment decisions.
Don’t ignore persistent breathing problems or signs of heart strain. Early detection can be life-saving.
Difficulty breathing, especially during daily activities or mild exercise, could indicate blockages in your lung arteries.
Unexplained chest discomfort might be due to increased pressure in the pulmonary arteries or right heart strain.
This could signal poor blood return and lung circulation issues, possibly requiring surgical evaluation.
These symptoms, especially on exertion, may suggest limited oxygen supply due to pulmonary artery blockages.
Persistent tiredness even with rest might indicate reduced oxygen delivery and heart overwork from lung clots.
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The team was responsive and understanding. They made this tough journey a lot easier. I’m living pain-free now
Manish Raut Pulmonary Endarterectomy Surgery
From arranging help to hospital coordination, mediSuggest managed everything. The surgery was smooth, and I’m no longer breathless climbing stairs.
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I was scared at first, but mediSuggest connected me to a great doctor. Post-surgery, I feel like I’ve got a second life.
Kiran Mehta Pulmonary Endarterectomy Surgery
I had severe CTEPH. mediSuggest guided me to a hospital where the procedure was done safely. I’m back to work and family life.
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The care I received before and after surgery was incredible. mediSuggest was there for every question I had.
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After months of breathlessness, mediSuggest helped me find the best surgeon. The surgery changed my life completely. I breathe freely again.
Arjun Deshmukh Pulmonary Endarterectomy Surgery
Pulmonary Endarterectomy is a surgery to remove blood clots from the arteries in your lungs, often caused by chronic pulmonary embolism. It improves breathing and heart performance.
Like any major surgery, there are risks, especially due to the use of heart-lung machines. However, when performed by experienced surgeons, the success rate is high.
Most patients spend a few days in the ICU and recover fully within 6–12 weeks. Rehabilitation and follow-up care are essential parts of healing.
It can significantly reduce symptoms like fatigue and shortness of breath, lower lung pressure, and increase your ability to lead an active life.
