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Rapid Improvement of Severe Pulmonary Hypertension Due to Scoliosis-related Restrictive Ventilatory Disorder
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 regu...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Internal Medicine
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8580779/ https://www.ncbi.nlm.nih.gov/pubmed/33967134 http://dx.doi.org/10.2169/internalmedicine.6525-20 |
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author | Inao, Takashi Amano, Masashi Hashimoto, Seishu Izumi, Chisato Tamaki, Yodo Tamura, Toshihiro Taguchi, Yoshio Hajiro, Takashi |
author_facet | Inao, Takashi Amano, Masashi Hashimoto, Seishu Izumi, Chisato Tamaki, Yodo Tamura, Toshihiro Taguchi, Yoshio Hajiro, Takashi |
author_sort | Inao, Takashi |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8580779 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-85807792021-11-19 Rapid Improvement of Severe Pulmonary Hypertension Due to Scoliosis-related Restrictive Ventilatory Disorder Inao, Takashi Amano, Masashi Hashimoto, Seishu Izumi, Chisato Tamaki, Yodo Tamura, Toshihiro Taguchi, Yoshio Hajiro, Takashi Intern Med Case Report 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. The Japanese Society of Internal Medicine 2021-05-07 2021-10-15 /pmc/articles/PMC8580779/ /pubmed/33967134 http://dx.doi.org/10.2169/internalmedicine.6525-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Inao, Takashi Amano, Masashi Hashimoto, Seishu Izumi, Chisato Tamaki, Yodo Tamura, Toshihiro Taguchi, Yoshio Hajiro, Takashi Rapid Improvement of Severe Pulmonary Hypertension Due to Scoliosis-related Restrictive Ventilatory Disorder |
title | Rapid Improvement of Severe Pulmonary Hypertension Due to Scoliosis-related Restrictive Ventilatory Disorder |
title_full | Rapid Improvement of Severe Pulmonary Hypertension Due to Scoliosis-related Restrictive Ventilatory Disorder |
title_fullStr | Rapid Improvement of Severe Pulmonary Hypertension Due to Scoliosis-related Restrictive Ventilatory Disorder |
title_full_unstemmed | Rapid Improvement of Severe Pulmonary Hypertension Due to Scoliosis-related Restrictive Ventilatory Disorder |
title_short | Rapid Improvement of Severe Pulmonary Hypertension Due to Scoliosis-related Restrictive Ventilatory Disorder |
title_sort | rapid improvement of severe pulmonary hypertension due to scoliosis-related restrictive ventilatory disorder |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8580779/ https://www.ncbi.nlm.nih.gov/pubmed/33967134 http://dx.doi.org/10.2169/internalmedicine.6525-20 |
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