This study evaluated the safety and effectiveness of dedicated training for pulmonary thromboendarterectomy (PTE) performed by fellows compared to experienced surgeons in a high-volume center. An analysis of 1,744 PTE cases revealed that although fellows had longer circulatory arrest times, complication rates and hospital mortality were similar between both groups. Post-discharge outcomes regarding hemodynamic status, functional ability, and long-term survival were also comparable. Overall, dedicated PTE training is safe and does not compromise surgical outcomes.
