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pulmonary hypertension

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pulmonary hypertensive diseases, pulmonary arterial hypertension (PAHT)

Types

- acute pulmonary hypertension
- chronic pulmonary hypertension

Etiology

- primary pulmonary vascular diseases

- secondary pulmonary hypertension

  • congenital and acquired heart diseases
    • with pulmonary venous hypertension
      • obstruction to left ventricular outflow
        • aortic atresia
        • aortic stenosis
        • hypoplastic left heart
        • aortic coarctation with VSD
        • interrupted aortic arch
  • obstruction to pulmonary venous return
    • critical mitral stenosis
    • cor triatrium
    • pulmonary venous stenosis
    • intradiaphragmatic TAPVR
  • with increased pulmonary blood flow
  • with isolated VSD
  • generalized and local vascular disorders
    • portocaval shunt
    • collagen vascular diseases (dysimmune diseases)
    • intravenous drug abuse
    • vascular toxins
    • drugs
  • mechanical disorders
    • chest wall restriction (kyphoscoliosis)
    • muscle weakness (myasthenia gravis)
  • blood hyperviscosity
    • polycythemia
    • fetal-maternal transfusion
    • fetal-fetal transfusion
    • sickle-cell disease
    • high-altitude residence
    • antiphospholipid antibody syndrome
  • sleep disordered breathing due to obstructive sleep apnea
  • neuromuscular disease
  • portocaval shunt (12447666, 6886359)
  • portal hypertension (159649)
  • cirrhosis of the liver with portacaval shunts (5634734)

Associations

- portal hypertension (1409142)

See also

- pulmonary plexogenic arteriopathy

References

- Tulloh RM. Congenital heart disease in relation to pulmonary hypertension in paediatric practice. Paediatr Respir Rev. 2005 Sep;6(3):174-80. PMID: 16153566

- Bush A. Pulmonary hypertensive diseases. Paediatr Respir Rev. 2000 Dec;1(4):361-7. PMID: 16263465

- Alt B, Shikes RH. Pulmonary hypertension in congenital heart disease: irreversible vascular changes in young infants. Pediatr Pathol. 1983 Oct-Dec;1(4):423-34. PMID: 6687292

- Wagenvoort CA. Grading of pulmonary vascular lesions?a reappraisal. Histopathology. 1981 Nov;5(6):595-8. PMID: 7319479