{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T17:05:10Z","timestamp":1784307910369,"version":"3.55.0"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T00:00:00Z","timestamp":1780790400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Chronic thromboembolic pulmonary hypertension (CTEPH) is a rare, potentially curable form of pulmonary hypertension, with limited data in pregnancy. We describe a 37\u2010year\u2010old woman with progressive dyspnea, back pain, and cough, whose evaluation revealed severe right ventricular enlargement, high pulmonary pressures, and extensive V\/Q mismatches, confirming CTEPH. She underwent successful pulmonary thromboendarterectomy with marked hemodynamic recovery. An unrecognized early pregnancy, later confirmed after spontaneous miscarriage at 14\u2009weeks, complicated the course. This case underscores the diagnostic challenges of CTEPH in women of reproductive age and highlights the impact of pregnancy\u2010related hemodynamic stress on disease presentation.<\/jats:p>","DOI":"10.1002\/ccr3.72864","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T04:00:10Z","timestamp":1780891210000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Case of Chronic Thromboembolic Pulmonary Hypertension and Pregnancy, Managed With Pulmonary Endarterectomy: Clinical Challenges, Case Report, and Literature Review"],"prefix":"10.1002","volume":"14","author":[{"given":"Hassan","family":"Ahangar","sequence":"first","affiliation":[{"name":"Department of Cardiology, School of Medicine, Ayatollah Mousavi Hospital Zanjan University of Medical Science  Zanjan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Ghasemi Palangi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, School of Medicine, Ayatollah Mousavi Hospital Zanjan University of Medical Science  Zanjan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sepehr","family":"Gohari","sequence":"additional","affiliation":[{"name":"Student Research Center, School of Medicine Zanjan University of Medical Sciences  Zanjan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4366-649X","authenticated-orcid":false,"given":"Payman","family":"Yasami","sequence":"additional","affiliation":[{"name":"Student Research Committee, Department of Cardiology, School of Medicine Zanjan University of Medical Science  Zanjan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2024.1439411"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/CM9.0000000000003580"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehac237"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/20458940211013671"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCO.0000000000001034"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2020.08.028"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2023-256158"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-022-03323-8"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201011-1854CI"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.08.074"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa032274"},{"issue":"5","key":"e_1_2_11_13_1","first-page":"757","article-title":"Rare Occurrence of Chronic Thromboembolic Pulmonary Hypertension in Adolescents: Case Report","volume":"15","author":"Aristizabal A. 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