Table 3, online.
Clinical and Genetic Summaries for Patients with Identified Genetic Causes of Atypical ACD/MPV | |||||||
---|---|---|---|---|---|---|---|
Age at Px | Preceding Respiratory Symptoms | Acute PVD testing | Clinical PVD Response | Genetic | Extrapulmonary Defects | Outcome | Ref |
120 days | PPHN | Not performed | Partial -Responsive to Sildenafil in late course | FOXF1 p.V96L | Duodenal atresia | Transplant – 26 months | Pt 1 |
8 days | TTN | PVRi 8.6 to 4.9 WU*m2 | Partial - Intermittent pulmonary edema | FOXF1 p.Y89C | Hirschsprung’s disease | Transplant – 4 months | Pt 2 |
35 days | None | PVRi 15.0 to 5.8 WU*m2 | Complete – No pulmonary edema | FOXF1 p.P322fs | Intestinal nonrotation | Transplant-free-survival – 26 months | Pt 3 |
8 days | PPHN | PVRi 18.4 to 10.7 WU*m2 | Partial -Intermittent pulmonary edema | 16q23.3q24.1 del including LINC01082 and LINC010801 | Immunodeficiency Hydrocephalus | Death prior to transplant 10 months | Pt 4 |
7 months | Respiratory distress at birth | Not reported | Partial – Initial positive clinical response but decompensation at 14 months. | De novo maternal 16q24.1 deletion affecting LINC010802 | None | Transplant – 15 months | 10 |
5 months | None | Not reported | Complete – Clinically responsive to iNO, IV and PO PVDs | FOXF1 p.L300fs | None | Transplant-free survival-38 months. | 8 |
Birth | N/A | Reported positive | Managed with iNO | FOXF1 p.P49Q | Posterior urethral valves | Transplant – 20 months | 11 -Pt 2 |
67 days | Poor feeding | Not reported | Managed with sildenafil and iNO | 16q23.3q24.1 1.5 MB deletion | None | Transplant – 5 months | 11 - Pt 4 |
212 days | Tachypnea and mild hypoxia | Reported Positive | Managed with sildenafil and iNO | FOXF1 p.P126L | None | Transplant – 15 months | 11 - Pt 6 |
Abbreviations: alveolar capillary dysplasia/misalignment of pulmonary veins (ACD/MPV), inhaled nitric oxide (iNO), per oral (PO), persistent pulmonary hypertension of the newborn (PPHN), pulmonary hypertension (PH), pulmonary vasodilators (PVD), transient tachypnea of the newborn (TTN), indexed Wood units (WU*m2)