Table II.
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.