severe pulmonary hypertension
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Author(s):  
Aritra Paul ◽  
Aruni Ghose ◽  
Debasish Banerjee ◽  
Suvro Banerjee

A 24-year-old man presented with a history of palpitation and haemoptysis. He had a short stature, cardiac anomalies and physical deformities, including polydactyly, clubbing, cataracts and cyanosis. Echocardiography was performed, revealing both atrial and ventricular septal defects, along with severe pulmonary hypertension and Eisenmenger syndrome.


2021 ◽  
Vol 29 (01) ◽  
pp. 71-76
Author(s):  
Tauseef Asma Chaudhry ◽  
Muhammad Younas ◽  
Muhammad Ahsan Beg ◽  
Baqir Maqboool

Objective: To describe the challenges and outcomes of per cutaneous closure of PDA in adolescents and adults. Study Design: Cross Sectional, Retrospective Analysis. Setting: Department of Pediatric Cardiology, CPE Institute of Cardiology, Multan. Period: 2017 to 2019. Material & Methods: A total of 111 adolescent and adult patients were included in the study. Patients with irreversible severe pulmonary hypertension were not included. Sampling with consecutive nonprobability was done. Procedure was done according to standard protocols. Different devices were used in different patients according to morphology of defect. Devices included SHSMA and Lifetech duct occluders. In two patients VSD muscular devices were also used. Results: Mean age was 22 + 7.88 years. Out of these 111 subjects, 72 (63%) were female and 39 (37%) were male with a ratio of 1.84:1. Two patients were of moderate size (3-5mm) PDA, 26 (27%) were of moderately large (5-7mm) size and majority of patients had large size (>7mm) PDA (55%). Majority of PDAs were type A (100, 90%), one was type B, 4 were type C and 6 were of type E according to Krichenko classification. No complications occurred except in one patient in which device was embolized. Foaming through the device was noted in 65 patients after 24 hours post procedure echocardiography. Conclusion: It was concluded that PDA device closure has its own challenges in adults but it is safe and effective as well.


2021 ◽  
Vol 50 (1) ◽  
pp. 760-760
Author(s):  
Shruti Shankar ◽  
Ricardo Restrepo ◽  
Debabrata Bandyopadhyay ◽  
Nirmal Sharma ◽  
Kapilkumar Patel

Author(s):  
Akihisa Taguchi ◽  
Akiko Hirotsu ◽  
Misaki Saito Sato ◽  
Toshiyuki Mizota

Anesthetic management of patients with severe pulmonary hypertension combined with a difficult airway is challenging. The present case suggests that the use of venoarterial extracorporeal membrane oxygenation is useful for safe anesthetic management.


2021 ◽  
Vol 30 (2) ◽  
pp. 5-8
Author(s):  
Rajeev Bhardwaj ◽  
Ranjana Gupta ◽  
Sivaji Patibandla ◽  
Himanshu Tanwar ◽  
Mehroj Ahmed ◽  
...  

Takayasu arteritis is an inflammatory disease of large- and medium-sized arteries, with a predilection for the aorta and its branches. Advanced lesions demonstrate a panarteritis with intimal proliferation. It can affect the aorta, subclavian artery, renal artery, iliac artery, coronary artery, and other blood vessels. Pulmonary arteritis is very uncommon in TA. We describe a case of TA, who primarily presented with pulmonary hypertension.


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