Berrajaa Mehdi, Babakhouya Abdeladim, El Minaoui Mohamed
Cardiology Department, Souss-Massa University Hospital, Faculty of Medicine of Agadir, University Ibn Zohr, Agadir, Morocco.
Pediatrics Department, Mohammed VI University Hospital, Faculty of Medicine of Oujda, Oujda, Morocco.
Pan Afr Med J. 2025 Jan 2;50:2. doi: 10.11604/pamj.2025.50.2.39678. eCollection 2025.
In children, the prevalence of obstructive sleep apnoea syndrome (OSAS) is 2 to 3%. Pulmonary hypertension-related OSAS in the context of tonsil hypertrophy is a well-documented phenomenon. However, cases combining pulmonary hypertension and right cardiac failure have rarely been reported. The management of such cases is based on adenotonsillectomy with an important subsequent impact on the right ventricle and left ventricle functions. Herein, we report a 3-year-old boy with right cardiac failure and pulmonary hypertension due to OSAS that was secondary to bilateral tonsil hypertrophy. The patient has well evolved with complete resolution of OSAS, and cardiac and respiratory alteration after adenotonsillectomy. Our reported case should be a reminder for otolaryngologists, pediatricians, and cardiologists to recognize this particular condition.
在儿童中，阻塞性睡眠呼吸暂停综合征（OSAS）的患病率为2%至3%。扁桃体肥大情况下与肺动脉高压相关的OSAS是一个有充分文献记载的现象。然而，合并肺动脉高压和右心衰竭的病例很少被报道。此类病例的治疗基于腺样体扁桃体切除术，术后对右心室和左心室功能有重要影响。在此，我们报告一名3岁男孩，因双侧扁桃体肥大继发OSAS导致右心衰竭和肺动脉高压。该患者病情进展良好，腺样体扁桃体切除术后OSAS以及心脏和呼吸异常完全缓解。我们报道的病例应提醒耳鼻喉科医生、儿科医生和心脏病专家认识到这种特殊情况。
