Evaluation of Pulmonary Hypertension in a Child: Role of Computed Tomography

Unexplained pulmonary hypertension in pediatric patient is a diagnostic challenge. The natural history as well as management depends upon etiology of pulmonary hypertension. Despite newer insights in pathophysiology and management strategies, the outcome of pulmonary veno-occlusive disease remains d...

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Bibliographic Details
Published in:Indian journal of pediatrics 2011-11, Vol.78 (11), p.1417-1419
Main Authors: Gupta, Saurabh Kumar, Saxena, Anita, Gulati, Gurpreet Singh
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child
Clinical Brief
Familial Primary Pulmonary Hypertension
Female
General aspects
Gynecology
Humans
Hypertension, Pulmonary - diagnostic imaging
Hypertension, Pulmonary - etiology
Medical sciences
Medicine
Medicine & Public Health
Pediatrics
Pneumology
Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
Pulmonary Veno-Occlusive Disease - complications
Pulmonary Veno-Occlusive Disease - diagnostic imaging
Tomography, X-Ray Computed
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Summary:Unexplained pulmonary hypertension in pediatric patient is a diagnostic challenge. The natural history as well as management depends upon etiology of pulmonary hypertension. Despite newer insights in pathophysiology and management strategies, the outcome of pulmonary veno-occlusive disease remains dismal. The author’s report a case of 12-year-old girl who presented with severe pulmonary hypertension. Stepwise evaluation and CT angiographic assessment in the index case led to definitive diagnosis of pulmonary veno-occlusive disease. This case highlights the role of cardiac imaging in localising site of pulmonary hypertension. It is important for health care professionals involved in care of patients with pulmonary hypertension to make correct diagnosis of pulmonary veno-occlusive disease for better prognostication as well as to avoid therapeutic mishaps.
ISSN:0019-5456
0973-7693
DOI:10.1007/s12098-011-0471-4