An infant with pulmonary hypertension due to a congenital porto-caval shunt

  title={An infant with pulmonary hypertension due to a congenital porto-caval shunt},
  author={Joerg Ersch and Oskar Baenziger and Christian Braegger and U. V. Arbenz and Thomas Stallmach},
  journal={European Journal of Pediatrics},
A 20-month-old male child died during an episode of acute bronchitis. The autopsy revealed massive hypertrophy and acute dilatation of the right heart which was caused by pulmonary hypertension exhibiting plexogenic arteriopathy and necrotizing arteriitis of small lung vessels. Further examination revealed complete old fibrotic occlusion of the extrahepatic portal vein and a large porto-systemic shunt. Esophageal varices indicating portal hypertension were not present. Histology showed enlarged… CONTINUE READING


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