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Madonna R, Bonitatibus G, Vitulli P, Pierdomenico SD, Galiè N, De Caterina R. Association of the European Society of Cardiology echocardiographic probability grading for pulmonary hypertension with short and mid-term clinical outcomes after heart valve surgery. Vascul Pharmacol 2020; 125-126:106648. [PMID: 31904543 DOI: 10.1016/j.vph.2020.106648] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Accepted: 01/02/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND AND AIMS Pulmonary hypertension (PH) is associated with higher mortality and morbidity after valvular heart surgery, mainly through its adverse effect on right ventricular hemodynamic. Recently, the European Society of Cardiology (ESC) PH guidelines introduced a PH probability grading that lists additional parameters related to right ventricular dimensions. We evaluated the impact of such score on short- and mid-term outcomes in patients undergoing left heart valvular surgery. METHODS AND RESULTS We included 60 consecutive patients (mean age 70 ± 9 years) undergoing left heart valvular surgery with or without coronary artery bypass. Patients were divided into 3 groups according to the PH probability: "low" (n = 18), "intermediate" (n = 18), or "high" (n = 24). The high PH probability group had higher rate of World Health Organization-Functional Class (WHO-FC) III and IV, hemodynamic complications, deaths, major bleeding events and infections after heart surgery than the other groups. A "high" PH probability was associated with reduced right ventricular systolic function, as measured by the fractional area change (FAC), but not with the tricuspid annular plane systolic excursion (TAPSE). CONCLUSION The high PH probability as evaluated by the ESC PH echocardiographic probability model, is associated with increased short- and mid-term mortality and morbidity and reduced right ventricular systolic function after cardiac surgery, Thus, additional echocardiographic parameters assessing PH probability are valuable tools to stratify risk in patients undergoing cardiac surgery.
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Affiliation(s)
| | | | | | | | - Nazzareno Galiè
- Department of Experimental, Diagnostic and Specialty Medicine (DIMES), Bologna University Hospital, Bologna, Italy
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Anazawa R, Terada J, Sakao S, Shigeta A, Tanabe N, Tatsumi K. Features of radiological and physiological findings in pulmonary capillary hemangiomatosis: an updated pooled analysis of confirmed diagnostic cases. Pulm Circ 2019; 9:2045894019896696. [PMID: 31908771 DOI: 10.1177/2045894019896696] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2019] [Accepted: 11/30/2019] [Indexed: 11/16/2022] Open
Abstract
Pulmonary capillary hemangiomatosis (PCH) is a very rare and refractory disease characterized by capillary angioproliferation. The updated classification of pulmonary hypertension categorizes PCH into a subgroup of pulmonary arterial hypertension (PAH) alongside pulmonary veno-occlusive disease (PVOD). However, the definitive diagnosis of PCH only with noninvasive tools remains difficult. The aim of this study was to elucidate the radiological and physiological characteristics of PCH. We searched for cases of pathologically confirmed PCH in the English literature published between 2000 and 2018. We identified 26 cases among 39 studies. Then, we extracted and evaluated the relevant clinical information in all cases with available data. On chest computed tomography (CT), ground-glass opacities (GGOs) were observed in 92% of the cases, in which poorly defined nodular pattern was the most common (88%). GGOs in a bat-wing distribution were observed in one case. Septal lines and lymph node enlargement were observed less frequently (each 19%, 12%). Seven cases (27%) had overlapping abnormalities. Diffusing capacity of the lung for carbon monoxide (DLCO) was remarkably decreased. Alveolar hemorrhage by histological findings or bronchoalveolar lavage (BAL) was observed in seven cases. The present study showed that the most characteristic findings of CT in PCH was centrilobular GGOs with a poorly defined nodular pattern, and septal lines and lymph node enlargement were seen less frequently. Alveolar hemorrhage detected by BAL and decreased DLCO may also be helpful to recognize the possibility of PCH like PVOD.
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Affiliation(s)
- Rie Anazawa
- Department of Respirology, Graduate School of Medicine, Chiba University, Japan
| | - Jiro Terada
- Department of Respirology, Graduate School of Medicine, Chiba University, Japan
| | - Seiichiro Sakao
- Department of Respirology, Graduate School of Medicine, Chiba University, Japan
| | - Ayako Shigeta
- Department of Respirology, Graduate School of Medicine, Chiba University, Japan
| | - Nobuhiro Tanabe
- Department of Respirology, Graduate School of Medicine, Chiba University, Japan
| | - Koichiro Tatsumi
- Department of Respirology, Graduate School of Medicine, Chiba University, Japan
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Porres-Aguilar M, Al-Bayati I, Porres-Muñoz M, Padilla O, Syed SH, Lowder K, Azimova K, Fan J, Mukherjee D, Abbas A. Pulmonary veno-occlusive disease as a cause of pulmonary arterial hypertension. Proc (Bayl Univ Med Cent) 2015; 28:350-2. [PMID: 26130886 DOI: 10.1080/08998280.2015.11929271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
Pulmonary veno-occlusive disease (PVOD) represents a rare form of precapillary pulmonary arterial hypertension. We present a young patient hospitalized with progressive dyspnea, with initial workup suggestive of pulmonary hypertension and unexplained noncardiogenic pulmonary edema. His subsequent clinical course was consistent with the diagnosis of PVOD.
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Affiliation(s)
- Mateo Porres-Aguilar
- Department of Internal Medicine (Porres-Aguilar, Al-Bayati, Syed), Department of Pathology (Padilla), Division of Cardiovascular Diseases (Mukherjee, Abbas), and medical student (Lowder, Azimova, Fan), Texas Tech University Health Sciences Center/Paul L. Foster School of Medicine, El Paso, Texas; and Universidad Autonoma de Tamaulipas School of Medicine and Division of General Internal Medicine, Beneficencia Española de Tampico, Tampico, Mexico (Porres-Muñoz)
| | - Ihsan Al-Bayati
- Department of Internal Medicine (Porres-Aguilar, Al-Bayati, Syed), Department of Pathology (Padilla), Division of Cardiovascular Diseases (Mukherjee, Abbas), and medical student (Lowder, Azimova, Fan), Texas Tech University Health Sciences Center/Paul L. Foster School of Medicine, El Paso, Texas; and Universidad Autonoma de Tamaulipas School of Medicine and Division of General Internal Medicine, Beneficencia Española de Tampico, Tampico, Mexico (Porres-Muñoz)
| | - Mateo Porres-Muñoz
- Department of Internal Medicine (Porres-Aguilar, Al-Bayati, Syed), Department of Pathology (Padilla), Division of Cardiovascular Diseases (Mukherjee, Abbas), and medical student (Lowder, Azimova, Fan), Texas Tech University Health Sciences Center/Paul L. Foster School of Medicine, El Paso, Texas; and Universidad Autonoma de Tamaulipas School of Medicine and Division of General Internal Medicine, Beneficencia Española de Tampico, Tampico, Mexico (Porres-Muñoz)
| | - Osvaldo Padilla
- Department of Internal Medicine (Porres-Aguilar, Al-Bayati, Syed), Department of Pathology (Padilla), Division of Cardiovascular Diseases (Mukherjee, Abbas), and medical student (Lowder, Azimova, Fan), Texas Tech University Health Sciences Center/Paul L. Foster School of Medicine, El Paso, Texas; and Universidad Autonoma de Tamaulipas School of Medicine and Division of General Internal Medicine, Beneficencia Española de Tampico, Tampico, Mexico (Porres-Muñoz)
| | - Saad H Syed
- Department of Internal Medicine (Porres-Aguilar, Al-Bayati, Syed), Department of Pathology (Padilla), Division of Cardiovascular Diseases (Mukherjee, Abbas), and medical student (Lowder, Azimova, Fan), Texas Tech University Health Sciences Center/Paul L. Foster School of Medicine, El Paso, Texas; and Universidad Autonoma de Tamaulipas School of Medicine and Division of General Internal Medicine, Beneficencia Española de Tampico, Tampico, Mexico (Porres-Muñoz)
| | - Kevin Lowder
- Department of Internal Medicine (Porres-Aguilar, Al-Bayati, Syed), Department of Pathology (Padilla), Division of Cardiovascular Diseases (Mukherjee, Abbas), and medical student (Lowder, Azimova, Fan), Texas Tech University Health Sciences Center/Paul L. Foster School of Medicine, El Paso, Texas; and Universidad Autonoma de Tamaulipas School of Medicine and Division of General Internal Medicine, Beneficencia Española de Tampico, Tampico, Mexico (Porres-Muñoz)
| | - Komola Azimova
- Department of Internal Medicine (Porres-Aguilar, Al-Bayati, Syed), Department of Pathology (Padilla), Division of Cardiovascular Diseases (Mukherjee, Abbas), and medical student (Lowder, Azimova, Fan), Texas Tech University Health Sciences Center/Paul L. Foster School of Medicine, El Paso, Texas; and Universidad Autonoma de Tamaulipas School of Medicine and Division of General Internal Medicine, Beneficencia Española de Tampico, Tampico, Mexico (Porres-Muñoz)
| | - Jerry Fan
- Department of Internal Medicine (Porres-Aguilar, Al-Bayati, Syed), Department of Pathology (Padilla), Division of Cardiovascular Diseases (Mukherjee, Abbas), and medical student (Lowder, Azimova, Fan), Texas Tech University Health Sciences Center/Paul L. Foster School of Medicine, El Paso, Texas; and Universidad Autonoma de Tamaulipas School of Medicine and Division of General Internal Medicine, Beneficencia Española de Tampico, Tampico, Mexico (Porres-Muñoz)
| | - Debabrata Mukherjee
- Department of Internal Medicine (Porres-Aguilar, Al-Bayati, Syed), Department of Pathology (Padilla), Division of Cardiovascular Diseases (Mukherjee, Abbas), and medical student (Lowder, Azimova, Fan), Texas Tech University Health Sciences Center/Paul L. Foster School of Medicine, El Paso, Texas; and Universidad Autonoma de Tamaulipas School of Medicine and Division of General Internal Medicine, Beneficencia Española de Tampico, Tampico, Mexico (Porres-Muñoz)
| | - Aamer Abbas
- Department of Internal Medicine (Porres-Aguilar, Al-Bayati, Syed), Department of Pathology (Padilla), Division of Cardiovascular Diseases (Mukherjee, Abbas), and medical student (Lowder, Azimova, Fan), Texas Tech University Health Sciences Center/Paul L. Foster School of Medicine, El Paso, Texas; and Universidad Autonoma de Tamaulipas School of Medicine and Division of General Internal Medicine, Beneficencia Española de Tampico, Tampico, Mexico (Porres-Muñoz)
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Rhee CK, Yim NY, Shim S, Kim HJ. A Case of Pulmonary Capillary Hemangiomatosis-Like Lesion Followed for Seven Years. Tuberc Respir Dis (Seoul) 2011. [DOI: 10.4046/trd.2011.70.3.242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Chin Kook Rhee
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Armed Forces Capital Hospital, Seongnam, Korea
| | - Nam Yeol Yim
- Department of Radiology, Chonnam National University Hospital, Gwangju, Korea
| | - Soyeon Shim
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Wonkwang University Sanbon Hospital, Wonkwang University College of Medicine, Gunpo, Korea
| | - Hui Jung Kim
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Wonkwang University Sanbon Hospital, Wonkwang University College of Medicine, Gunpo, Korea
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