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Vol 14, No 4 (2019)
Case report
Published online: 2019-07-02

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Pulmonary hypertension of complex aetiology: contemporary treatment options

Emilia Stepnowska1, Alicja Dąbrowska- Kugacka2, Grzegorz Raczak2, Ewa Lewicka2
Folia Cardiologica 2019;14(4):397-400.

Abstract

We present the case of an 80 year-old female patient with pulmonary arterial hypertension of complex aetiology, including late-diagnosed congenital heart disease. We describe the diagnostic procedures and staged treatment (percutaneous closure of an ostium secundum atrial septal defect and drug treatment with riociguat) which resulted in a significant clinical improvement.

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References

  1. Stepnowska E, Lewicka E, Dąbrowska-Kugacka A, et al. Predictors of poor outcome in patients with pulmonary arterial hypertension: A single center study. PLoS One. 2018; 13(4): e0193245.
  2. Ghofrani HA, Humbert M, Langleben D, et al. Riociguat: Mode of Action and Clinical Development in Pulmonary Hypertension. Chest. 2017; 151(2): 468–480.
  3. Ghofrani HA, D'Armini AM, Grimminger F, et al. CHEST-1 Study Group. Riociguat for the treatment of chronic thromboembolic pulmonary hypertension. N Engl J Med. 2013; 369(4): 319–329.
  4. Galiè N, Grimminger F, Grünig E, et al. PATENT-1 Study Group. Riociguat for the treatment of pulmonary arterial hypertension. N Engl J Med. 2013; 369(4): 330–340.