Pulmonary veno-occlusive disease: Two children with gradual disease progression

Pulmonary veno-occlusive disease and pulmonary capillary hemangiomatosis are rare forms of pulmonary vascular disease. We report two cases of affected children who had evidence of pulmonary hypertension 3–5 years before developing radiographic findings of pulmonary veno-occlusive disease or pulmonar...

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Main Authors: Ronald W. Day, Parker W. Clement, Aimee O. Hersh, Susan M. Connors, Kelli L. Sumner, D. Hunter Best, Mouied Alashari
Format: Article
Language:English
Published: Elsevier 2017-01-01
Series:Respiratory Medicine Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007116301861
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author Ronald W. Day
Parker W. Clement
Aimee O. Hersh
Susan M. Connors
Kelli L. Sumner
D. Hunter Best
Mouied Alashari
author_facet Ronald W. Day
Parker W. Clement
Aimee O. Hersh
Susan M. Connors
Kelli L. Sumner
D. Hunter Best
Mouied Alashari
author_sort Ronald W. Day
collection DOAJ
description Pulmonary veno-occlusive disease and pulmonary capillary hemangiomatosis are rare forms of pulmonary vascular disease. We report two cases of affected children who had evidence of pulmonary hypertension 3–5 years before developing radiographic findings of pulmonary veno-occlusive disease or pulmonary capillary hemangiomatosis. Both patients experienced a moderate decrease in pulmonary arterial pressure during acute vasodilator testing. Both patients experienced an improvement in six-minute walk performance without an increase in pulmonary edema when treated with targeted therapy for pulmonary hypertension. In some patients, pulmonary veno-occlusive disease and pulmonary capillary hemangiomatosis may progress slowly over a period of months to years. A favorable acute vasodilator response may identify patients who will tolerate, and demonstrate transient clinical improvement with, medical therapy.
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spelling doaj.art-d1b587f5552f4f8f82d3d899893a99412022-12-21T23:59:30ZengElsevierRespiratory Medicine Case Reports2213-00712017-01-0120C828610.1016/j.rmcr.2016.12.007Pulmonary veno-occlusive disease: Two children with gradual disease progressionRonald W. Day0Parker W. Clement1Aimee O. Hersh2Susan M. Connors3Kelli L. Sumner4D. Hunter Best5Mouied Alashari6University of Utah Department of Pediatrics, 81 North Mario Capecchi Drive, Salt Lake City, UT 84113, USAUniversity of Utah Department of Pathology, 15 North Medical Drive, Suite 1100, Salt Lake City, UT 84132, USAUniversity of Utah Department of Pediatrics, 81 North Mario Capecchi Drive, Salt Lake City, UT 84113, USAVascular Biology Program of Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USAARUP Institute for Clinical and Experimental Pathology, 500 Chipeta Way, Salt Lake City, UT 84108, USAARUP Institute for Clinical and Experimental Pathology, 500 Chipeta Way, Salt Lake City, UT 84108, USAUniversity of Utah Department of Pathology, 15 North Medical Drive, Suite 1100, Salt Lake City, UT 84132, USAPulmonary veno-occlusive disease and pulmonary capillary hemangiomatosis are rare forms of pulmonary vascular disease. We report two cases of affected children who had evidence of pulmonary hypertension 3–5 years before developing radiographic findings of pulmonary veno-occlusive disease or pulmonary capillary hemangiomatosis. Both patients experienced a moderate decrease in pulmonary arterial pressure during acute vasodilator testing. Both patients experienced an improvement in six-minute walk performance without an increase in pulmonary edema when treated with targeted therapy for pulmonary hypertension. In some patients, pulmonary veno-occlusive disease and pulmonary capillary hemangiomatosis may progress slowly over a period of months to years. A favorable acute vasodilator response may identify patients who will tolerate, and demonstrate transient clinical improvement with, medical therapy.http://www.sciencedirect.com/science/article/pii/S2213007116301861Pulmonary arterial hypertensionPulmonary capillary hemangiomatosisPulmonary veno-occlusive disease
spellingShingle Ronald W. Day
Parker W. Clement
Aimee O. Hersh
Susan M. Connors
Kelli L. Sumner
D. Hunter Best
Mouied Alashari
Pulmonary veno-occlusive disease: Two children with gradual disease progression
Respiratory Medicine Case Reports
Pulmonary arterial hypertension
Pulmonary capillary hemangiomatosis
Pulmonary veno-occlusive disease
title Pulmonary veno-occlusive disease: Two children with gradual disease progression
title_full Pulmonary veno-occlusive disease: Two children with gradual disease progression
title_fullStr Pulmonary veno-occlusive disease: Two children with gradual disease progression
title_full_unstemmed Pulmonary veno-occlusive disease: Two children with gradual disease progression
title_short Pulmonary veno-occlusive disease: Two children with gradual disease progression
title_sort pulmonary veno occlusive disease two children with gradual disease progression
topic Pulmonary arterial hypertension
Pulmonary capillary hemangiomatosis
Pulmonary veno-occlusive disease
url http://www.sciencedirect.com/science/article/pii/S2213007116301861
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