Severe pulmonary hypertension in a young patient with end-stage renal disease on chronic hemodialysis.
Ann Pediatr Cardiol
; 3(2): 184-6, 2010 Jul.
Article
em En
| MEDLINE
| ID: mdl-21234203
ABSTRACT
Severe pulmonary hypertension in a teenager with end-stage renal disease on chronic hemodialysis via arteriovenous access is reported. Clinical presentation included persistent volume overload and pericardial effusion. Serial hemodynamic data obtained at cardiac catheterization confirmed the diagnosis. In addition, detailed biochemical and imaging data (echo- Doppler, computed tomography of chest, computed tomographic pulmonary angiography, VQ lung scan, etc.) were obtained to find out the mechanism. The exact cause of pulmonary hypertension remains unclear, and a multi- factorial mechanism is postulated. This rare case is presented to highlight the role of aggressive dialysis, pericardiocentesis, and use of sildenafil and bosentan in the management.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Ann Pediatr Cardiol
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Índia