Progressive pulmonary vascular disease after pulmonary artery banding and total correction in a case of ventricular septal defect and pulmonary ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1999-05

AUTHORS

Shigeo Yamaki, Susumu Yonesaka, Sohei Suzuki, Kiyoshi Nagumo, Kenji Ouchi, Tohru Takahashi

ABSTRACT

A 7-month-old infant with ventricular septal defect and pulmonary hypertension underwent pulmonary artery banding, which resulted in a decrease in the pulmonary arterial peak pressure from 102 to 54 mmHg. Lung biopsy findings showed at most an early grade 3 Heath-Edwards classification, and an index of pulmonary vascular disease of 1.4, both of which indicated operability for total correction. Small pulmonary arteries less than 100 microns in diameter, however, showed marked hydropic changes in the medial smooth muscle cells. Total correction was performed at the age of 2 years, but the pulmonary arterial pressure failed to decrease. A lung biopsy taken just after the closure of the ventricular septal defect contraindicated operability due to progressive pulmonary vascular disease at a grade 6 Heath-Edwards classification and an index of pulmonary vascular disease of 2.4. The patient died at 8 months after the operation, and an autopsy revealed still more advanced pulmonary vascular disease at a grade 6 Heath-Edwards classification and an index of pulmonary vascular disease of 2.8. The pathogenesis of arterial changes is discussed. More... »

PAGES

229-233

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf03218001

DOI

http://dx.doi.org/10.1007/bf03218001

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1048520968

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/10402773


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