Rapid Improvement of Severe Pulmonary Hypertension Due to Scoliosis-related Restrictive Ventilatory Disorder.
hypoxemia
noninvasive positive pressure ventilation
pulmonary hypertension
restrictive ventilatory disorder
scoliosis
ventilation-perfusion mismatch
Journal
Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241
Informations de publication
Date de publication:
15 Oct 2021
15 Oct 2021
Historique:
pubmed:
11
5
2021
medline:
21
10
2021
entrez:
10
5
2021
Statut:
ppublish
Résumé
Few reports have highlighted the serial changes in pulmonary hypertension during respiratory management. An 18-year-old girl with severe scoliosis was referred to our hospital for worsening dyspnea on exertion. Based on chest X-ray and transthoracic echocardiography findings showing a tricuspid regurgitation pressure gradient (TRPG) of 64 mmHg, the patient was diagnosed with severe alveolar hypoventilation due to thoracic deformity and severe pulmonary hypertension. Her oxygenation improved rapidly under noninvasive positive pressure ventilation, although partial pressure of carbon dioxide remained >80 Torr. Transthoracic echocardiography on day 7 showed clinically significant and rapid improvement of pulmonary hypertension with a TRPG of 30 mmHg.
Identifiants
pubmed: 33967134
doi: 10.2169/internalmedicine.6525-20
pmc: PMC8580779
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3289-3293Références
Acta Orthop Scand. 1968;39(4):466-76
pubmed: 5726117
Eur Respir J. 2014 Jan;43(1):156-65
pubmed: 23722614
Heart. 2003 Feb;89(2):225-30
pubmed: 12527688
Nucl Med Commun. 1997 Feb;18(2):105-11
pubmed: 9076764
N Engl J Med. 1973 May 3;288(18):947-8
pubmed: 4693246
Eur Respir J. 2002 Jul;20(1):6-11
pubmed: 12166583
Eur Spine J. 2016 Oct;25(10):3180-3185
pubmed: 26980603
Chest. 2015 Nov;148(5):1346-1352
pubmed: 26158759
J Bone Joint Surg Am. 2005 Sep;87(9):1937-46
pubmed: 16140807
Am Rev Respir Dis. 1993 Aug;148(2):288-94
pubmed: 8342890
Am Rev Respir Dis. 1986 Jun;133(6):1186-95
pubmed: 3334415
J Appl Physiol (1985). 2005 Jan;98(1):390-403
pubmed: 15591309
Bull Eur Physiopathol Respir. 1977 Mar-Apr;13(2):299-321
pubmed: 324540
Arch Dis Child. 1971 Oct;46(249):623-32
pubmed: 5118050
Respiration. 1979;38(4):194-203
pubmed: 523826
Thorax. 1977 Dec;32(6):700-5
pubmed: 601732
AJNR Am J Neuroradiol. 1986 Sep-Oct;7(5):795-9
pubmed: 3096099
Thorax. 1991 Jul;46(7):474-8
pubmed: 1877034