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Alveolar Capillary Dysplasia as a Cause of Persistent Pulmonary Hypertension
Abdul Razak1, Pankaj Kumar Mohanty, N Karthik Nagesh
1Department of Neonatology, Manipal Hospital. Bangalore, India. Correspondence to: Dr N Karthik Nagesh, Head, Department of Neonatology, Manipal Group of Hospitals, Bangalore, India. drkarthiknagesh@gmail.com.
Background:
Persistent pulmonary hypertension (PPHN) in a term or late preterm has varied etiology.
Case Characteristics:
A late preterm neonate operated for esophageal atresia with tracheo-esophageal fistula was complicated by severe pulmonary hypertension and unable to be weaned off from respiratory support.
Outcome:
The neonate expired by 15 weeks of life; diagnosis was made on postmortem lung biopsy.
Message:
Alveolarcapillary dysplasia should be considered in a neonate with idiopathic refractory PPHN, if associated with anomalies.
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