Pulmonary Hypertension in COVID-19 Pneumoniae: It Is Not Always as It Seems

Autor: Maria Cristina Pasqualetto, Maria Domenica Sorbo, Maria Vitiello, Chiara Ferrara, Moreno Scevola, Fabio Pantalone, Fabio Gelain, Claudio Aloi, Manuele Nizzetto, Fausto Rigo
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: European Journal of Case Reports in Internal Medicine (2020)
Druh dokumentu: article
ISSN: 2284-2594
DOI: 10.12890/2020_002160
Popis: A patient affected by COVID-19 pneumonia may develop pulmonary hypertension (PH) and secondary right ventricular (RV) involvement, due to lung parenchymal and interstitial damage and altered pulmonary haemodynamics, even in non-advanced phases of the disease. This is a consequence of hypoxic vasoconstriction of the pulmonary circulation, the use of positive end-expiratory pressure (PEEP) in mechanical ventilation, pulmonary endothelial injury, and local inflammatory thrombotic and/or thromboembolic processes. We report the case of a young man admitted with a diagnosis of COVID-19 pneumoniae with PH unrelated to viral infection and in whom partial anomalous pulmonary venous drainage (PAPVD) was eventually diagnosed.
Databáze: Directory of Open Access Journals