Changes in the management of chronic thromboembolic pulmonary hypertension over a 10-year period, in a French expert regional competence centre

•Surgery remains the best treatment option for chronic thromboembolic pulmonary hypertension.•Thromboendarterectomy is performed in less than a third of patients diagnosed in a regional centre.•Balloon pulmonary angioplasty (BPA) should be proposed for inoperable cases.•The survival after BPA is similar to that of operated patients.•The survival of patients who underwent BPA is higher compared to those who received medical treatment only.