Pulmonary Interstitial Glycogenosis: A Reversible Underlying Condition Associated With D-Transposition of the Great Arteries and Severe Persistent Pulmonary Hypertension

被引:5
作者
Sanchez-de-Toledo, Joan [1 ]
Gonzalez-Peris, Sebastia [2 ]
Gran, Ferran [3 ]
Gregoraci, Angela [4 ]
Carles Ferreres, Joan [5 ]
Ruiz, Cesar W. [4 ]
Balcells, Joan [2 ]
Abella, Raul F. [6 ]
机构
[1] Univ Pittsburgh, Childrens Hosp Pittsburgh, Dept Crit Care Med, Cardiac Intens Care Div, 4401 Penn Ave, Pittsburgh, PA 15224 USA
[2] Univ Autonoma Barcelona, Hosp Univ Vall dHebron, Dept Pediat Intens Care Med, Barcelona, Spain
[3] Univ Autonoma Barcelona, Hosp Univ Vall dHebron, Dept Pediat Cardiol, Barcelona, Spain
[4] Univ Autonoma Barcelona, Hosp Univ Vall dHebron, Dept Neonatol, Barcelona, Spain
[5] Univ Autonoma Barcelona, Hosp Univ Vall dHebron, Dept Pathol, Barcelona, Spain
[6] Univ Autonoma Barcelona, Hosp Univ Vall dHebron, Dept Pediat Cardiothorac Surg, Barcelona, Spain
关键词
transposition of the great arteries; pulmonary hypertension; ECMO; pulmonary interstitial glycogenosis;
D O I
10.1177/2150135115577433
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Transposition of the great arteries with intact ventricular septum and persistent pulmonary hypertension (TGA-IVS PPHN) is a rare association with a poor prognosis. We report the case of a term newborn with TGA-IVS PPHN successfully managed with perioperative extracorporeal membrane oxygenation (ECMO) and aggressive pulmonary vasodilation therapy that underwent successful arterial switch procedure. A lung biopsy obtained during the surgical procedure showed pulmonary interstitial glycogenosis, a reversible condition. Concerns over left ventricle deconditioning after ECMO could be minimized with appropriate management and monitoring of the ductus arteriosus and appropriate timing of surgery.
引用
收藏
页码:480 / 483
页数:4
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