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Abstract
The clinical picture and the management of 3 patients with chronic pulmonary thromboembolism are presented to illustrate several aspects of this syndrome. Our experience with these patients and the available data from the literature suggest that patients with chronic thromboembolic occlusion of a main right or left pulmonary artery who show no significant improvement of the pulmonary blood flow 2 to 3 months after embolization should be considered candidates for pulmonary thromboembolectomy before secondary changes of the involved thorax and lung occur. In patients in whom such chronic changes have already occurred, pneumonectomy may be necessary because of repeated hemoptysis and pulmonary infections, or bronchiectasis.
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