Clinical Diagnosis and Treatment on Pulmonary Hypertension in Newborns and Children

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Cardiology".

Deadline for manuscript submissions: closed (5 July 2022) | Viewed by 6274

Special Issue Editor


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Guest Editor
Department of Pediatrics, Division of Pediatric Cardiology and Pulmonology, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan
Interests: pediatric cardiology and pediatric pulmonology; investigation on pulmonary hypertension-associated heart failure
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Special Issue Information

Dear Colleagues,

Pulmonary hypertension (PH) is pulmonary vascular disease defined as increased pulmonary artery pressure. Pathologically, pulmonary vascular remodeling occurs with varying severity, resulting in pressure overload in the right ventricle, right ventricular hypertrophy, and even mortality in some cases. Compared with adult patients, PH is characterized by complex heterogeneity in pediatric patients with congential heart disease, bronchopulmonary dysplasia, persisent pulmonary hypertension of newborn (PPHN), collagen disease, etc. The Nice PH classification does not completely characterize or individualize any subgroup of pediatric PH. This is in contrast to the Panama classification, in which prenatal and fetal origins of many pulmonary vascular diseases in neonates and children, perinatal pulmonary vascular maladaptation, prenatal and postnatal pulmonary vascular mal-development, and pulmonary vascular hypoplasia are included. Moreover, it is necessary to develop a more comprehensive algorithm in which multiple specific pediatric risk factors are determined. The critical goal of treatment should be to permit children with PAH to engage in normal activities without the need to self-limit. Beneficial data on diagnosis and targeted pharmacologic interventions are still in the preliminary stages, and large trials are warranted.

In this Special Issue, we invite you to submit interesting and up-to-date articles related to clinical diagnosis and treatment of pulmonary hypertension in newborns and children.

Prof. Dr. Zen-Kong Dai
Guest Editor

Manuscript Submission Information

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Keywords

  • pulmonary hypertension
  • vascular remodeling
  • premature
  • congenital heart disease
  • bronchopumonary dysplasia
  • vasodilator
  • endothelial dysfunction
  • idiopathic pulmonary arterial hypertension
  • congenital pulmonary abnormality
  • pressure overload

Published Papers (1 paper)

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6 pages, 1087 KiB  
Case Report
Successful Pulmonary Endarterectomy after Acute Pulmonary Embolism and Reversal of Acute Cor Pulmonale in an 11-Year-Old Boy with Nephrotic Syndrome
by Onyekachukwue Osakwe and Bibhuti B. Das
Children 2022, 9(10), 1444; https://doi.org/10.3390/children9101444 - 22 Sep 2022
Cited by 1 | Viewed by 1409
Abstract
Patients with nephrotic syndrome (NS) are at an increased risk for thromboembolic events, such as deep venous and arterial thrombosis and pulmonary embolism (PE). In general, PE in children differs from adults in incidence, predisposition, pathophysiology, presenting symptoms, and management strategies. There is [...] Read more.
Patients with nephrotic syndrome (NS) are at an increased risk for thromboembolic events, such as deep venous and arterial thrombosis and pulmonary embolism (PE). In general, PE in children differs from adults in incidence, predisposition, pathophysiology, presenting symptoms, and management strategies. There is a lack of treatment guidelines for PE in children, and the management strategies are mostly extrapolated from adult data. This case report highlights the presentation of acute cor pulmonale due to massive PE associated with NS and a successful pulmonary endarterectomy that reversed the child’s pulmonary hypertension and normalized right ventricular function. Full article
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