[Aerosolized iloprost therapy in an infant with chronic pulmonary hypertension after a neonatal arterial switch

V Lambert1, A Serraf, P Durand

  • 1Centre chirurgical Marie-Lannelongue, 133, avenue de la Résistance, 92350 Le-Plessis-Robinson, France. vlambert@ccml.com

Insights

Inhaled iloprost offers a promising alternative for treating pediatric chronic pulmonary hypertension, avoiding complications associated with long-term venous prostacyclin therapy. This approach improved a patient's condition and quality of life over nine months.

Area of Science:

  • Pediatric Cardiology
  • Pulmonary Hypertension Management
  • Respiratory Medicine

Background:

  • Chronic pulmonary hypertension in children often requires long-term venous prostacyclin therapy, which carries risks of severe complications.
  • Inhaled iloprost has shown preliminary success in adult patients with pulmonary hypertension.

Observation:

  • A case report details the successful use of aerosolized iloprost in an infant with pulmonary hypertension and right ventricular failure post-arterial switch operation.
  • The infant received treatment for nine months.

Findings:

  • Hemodynamic and functional status significantly improved during the nine-month treatment period.
  • The infant experienced a satisfactory quality of life while at home.

Implications:

  • Aerosolized iloprost may represent a viable alternative to intravenous prostacyclin therapy for pediatric chronic pulmonary hypertension.
  • Further research and clinical studies are warranted to validate these findings and support broader adoption.
Abstract