We present the case of a 28-year-old woman with a history of tricuspid valve endocarditis leading to chronic thromboembolic pulmonary hypertension (CTEPH) with multiple pulmonary artery chronic total occlusions (CTOs) due to septic emboli. Following a multidisciplinary care discussion, the patient was brought forward for balloon pulmonary angioplasty (BPA) with successful revascularization of all chronically occluded territories. This case highlights advances in pulmonary artery CTO interventions and demonstrates the feasibility of BPA for CTEPH patients with a history of septic emboli.

中文翻译：

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球囊肺血管成形术治疗脓毒性栓塞引起的慢性血栓栓塞性肺动脉高压

我们介绍了一名 28 岁女性的病例，她有三尖瓣心内膜炎病史，导致慢性血栓栓塞性肺动脉高压 (CTEPH)，并因脓毒性栓塞导致多发性肺动脉慢性完全闭塞 (CTO)。经过多学科护理讨论后，患者被提出进行球囊肺血管成形术（BPA），并成功对所有长期闭塞的区域进行血运重建。该病例凸显了肺动脉 CTO 干预措施的进展，并证明了 BPA 对于有脓毒性栓塞病史的 CTEPH 患者的可行性。