Chronic, major-vessel thromboembolic disease represents a potentially
correctable form of pulmonary hypertension. A thorough understanding o
f the unique problems associated with each aspect of care in these pat
ients is essential to ensure a minimal perioperative mortality and sat
isfactory long-term outcome. This article reviews the cause, natural h
istory, evaluation, surgical management, and postoperative course of p
atients with chronic thromboembolic pulmonary hypertension undergoing
thromboendarterectomy.