Pulmonary arterial hypertension in childhood: an unsual presentation with fibrosing mediastinitis

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Elisabetta Teopompi
Bertrand Tchana
Alfredo Chetta
Marina Aiello
Marta Sgrignoli
Nicola Carano
Aldo Agnetti

Keywords

pulmonary hypertension, pulmonary veins, heart failure, respiratory failure

Abstract

Acquired stenosis of normally connected pulmonary veins is a rare condition in children, usually associated with mediastinal processes. It may present later with a less specific clinical picture, symptoms and signs mimicking chronic lung disease. Fibrosing mediastinitis is a rarer disorder of unknown etiology, although several suspected causes such as granulomatous diseases, characterized by fibrous tissue proliferation within the mediastinum, leading to respiratory and cardiac failure by bronchial obstruction or pulmonary hypertension.

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