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. 2017 Dec 1;194:158–164.e1. doi: 10.1016/j.jpeds.2017.10.026

Table II.

Clinical characteristics of infants with atypical presentation of ACDMPV17, 19

Patients EGA (wks) Neonatal symptoms Age at presentation Cardiac anomalies Additional anomalies CT imaging Cardiac catheterization Pulmonary hypertension medications ECMO Support at time of lung transplantation Age at transplantation (mo) Outcome
1 Term Transient tachypnea at birth, discharged home on room air 3 months (109 days) None Inguinal hernia Not available Not performed Prostacyclin, iNO Before transplant Mechanical ventilation 4 Second transplant at 4 years of age; died at 5 years of age
2 Term Respiratory distress, pulmonary hypertension Birth Patent foramen ovale Posterior urethral valves Ground glass opacities, enlarged pulmonary vessels Suprasystemic RV pressure, responsive to iNO Nifedipine, iNO No NO and O2 via nasal cannula 20 Second transplant at 4 years of age; alive at 16 years of age
3 36 None 2 months (71 days) Patent foramen ovale None Diffuse ILD, associated cystic areas Not performed Milrinone, methylprednisolone, iNO No Mechanical ventilation 5 Alive at 14 years of age
4 34 Poor feeding, abdominal distension at 3 days 2 months (67 days) Secundum atrial septal defect None Ground glass opacities, interstitial septal thickening Suprasystemic RV pressure, responsive to iNO Sildenafil, milrinone, iNO No Mechanical ventilation 5 Died at 9 years of age
5 34 Apnea at 3 weeks 3 months (92 days) Patent foramen ovale None Ground glass opacities Not performed Sildenafil Prednisolone, iNO At transplantat ECMO 9 Alive at 5 years of age
6 Term Transient tachypnea, discharged home on O2 for 21 days 7 months (212 days) Patent ductus arteriosus None Ground glass opacities with septal thickening Near systemic RV pressure, responsive to iNO Sildenafil, methylprednisolone, iNO Before transplantat Positive pressure ventilation via RAM cannula 15 Died at 18 months of age

ECMO, extracorporeal membrane oxygenation; EGA, Estimated gestational age; iNO, inhaled nitric oxide; RAM, ; RV, right ventricular.