Chatmethakul Trassanee, Bhat Ramachandra, Alkaabi Maryam, Siddiqui Abdul, Peevy Keith, Zayek Michael
Department of Pediatrics, University of South Alabama, Mobile, Alabama.
AJP Rep. 2016 Jul;6(3):e260-3. doi: 10.1055/s-0036-1585578.
Multifocal and diffuse infantile hepatic hemangioendotheliomas commonly present with signs of high-output congestive heart failure. In addition, prolonged persistent pulmonary overcirculation eventually leads to the development of pulmonary hypertension at a later age. We report a 2-day old, full-term infant with multifocal, large infantile hepatic hemangioendothelioma, who presented with an early onset of pulmonary hypertension, managed successfully with supportive care and systemic therapy directed toward the involution of infantile hepatic hemangioendothelioma.
多灶性和弥漫性婴儿肝血管内皮瘤通常表现为高输出量充血性心力衰竭的症状。此外,长期持续的肺循环过度最终会在晚年导致肺动脉高压的发展。我们报告一例2日龄足月婴儿,患有多灶性、巨大婴儿肝血管内皮瘤,该患儿早期出现肺动脉高压,通过支持治疗和针对婴儿肝血管内皮瘤消退的全身治疗成功治愈。