scholarly journals Severe dilatation of the pulmonary artery at the presentation of idiopathic pulmonary hypertension - case report

2021 ◽  
Vol 142 (Supp 5) ◽  
2016 ◽  
Vol 01 (03) ◽  
pp. 029-032
Author(s):  
K. Prasad ◽  
A. Kumar

AbstractPVOD is rare cause of pulmonary artery hypertension which is associated with worse prognosis and limited treatment options apart from lung transplantation. Differentiating IPAH patients from PVOD is sometimes difficult relying on catheterization data alone. But differentiation between these two diseases is important as there are many evolved treatment options for IPAH. Here we are reporting a case of IPAH where catheterization data shows conflicting results which on further evaluation diagnosis confirmed as idiopathic pulmonary hypertension.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jose R. Navas-Blanco ◽  
Justin Miranda ◽  
Victor Gonzalez ◽  
Asif Mohammed ◽  
Oscar D. Aljure

Abstract Background The World Symposium of Pulmonary Hypertension in 2018, updated the definition of pulmonary hypertension (PH) as mean pulmonary artery pressures (PAP) > 20 mmHg. Pulmonary venous hypertension secondary to left-heart disease, constitutes the most common cause of PH, and the determination of a co-existent pre-capillary (primary) PH becomes paramount, particularly at the moment of evaluating and managing patients with heart failure. Pulmonary artery pressures above the systemic pressures define supra-systemic PH and generally leads to frank right ventricular failure and high mortality. Case presentation We present the perioperative management of a patient with rheumatic mitral valve disease, initially found to have severe PH due to pulmonary venous hypertension, who underwent percutaneous mitral balloon valvuloplasty complicated with mitral chordae rupture, severe mitral regurgitation and supra-systemic PH. Multiple medical therapies and an intra-aortic balloon pump were used as means of non-surgical management of this complication. Conclusions This case report illustrates the perioperative implications of combined pre- and post-capillary PH and supra-systemic PH, as this has not been widely discussed in previous literature. A thorough literature review of the clinical characteristics of PH, methods to determine co-existent pre- and post-capillary PH components, as well as concomitant right ventricular failure is presented. Severe PH has known detrimental effects on the hemodynamic status of patients, which can ultimately lead to a decrease in effective cardiac output and poor tissue perfusion.


2016 ◽  
Vol 4 (2) ◽  
pp. 68-71
Author(s):  
Kowshik Chakma ◽  
Nawshin Siraj ◽  
Nusrat Ghafoor ◽  
SM Shaheedul Islam

Truncus arteriosus communis (TAC) is a rare heart disorder with the prevalence of approximately 1%, mostly in male newborns with congenital heart defect (CHD). In this disease, aorta and pulmonary artery have not separated during fetal development and both originate jointly from a truncal vessel. In addition, various disorders are reported as associations of mitral and tricuspid valve defects, atrial septal defect (ASD), pulmonary hypertension, increase in heart rate and discharge syndrome. Ibrahim Cardiac Med J 2014; 4(2): 68-71


2017 ◽  
Vol 14 (1) ◽  
pp. 41-44
Author(s):  
N M Danilov ◽  
Yu G Matchin ◽  
S Yu Iarovoi ◽  
A Yu Demchenkova ◽  
I E Chazova

Thromboendarterectomy is undoubtedly the most widely used method in chronic thromboembolic hypertension treatment. Although surgical treatment is highly effective, it is often associated with high risk of complications. One of the main reasons for impossibility of surgery performance is distal pulmonary artery obstruction. In this case medical therapy or staged balloon angioplasty is considered the treatment of choice. This case report discusses if pulmonary artery angioplasty can be used in patients with proximal pulmonary artery obstruction.


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