Pulmonary Hypertension Associated with Acute Hypoxic Pulmonary Vasoconstriction in a Patient with Acute Myeloid Leukemia.
- Author:
Mi Ae SONG
1
;
Min Young JUNG
;
Ju Youn KIM
;
Sang Bae KIM
;
Myung Hyun LEE
;
Eun Hye KIM
;
Woo Baek CHUNG
Author Information
1. Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. peace816@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Hypertension, Pulmonary;
Vasoconstriction;
Leukemia, Myeloid, Acute
- MeSH:
Adolescent;
Anemia;
Anoxia;
Capillaries;
Humans;
Hypertension, Pulmonary;
Leukemia, Myeloid, Acute;
Perfusion;
Pneumonia;
Pulmonary Circulation;
Vasoconstriction;
Ventilation
- From:Korean Journal of Medicine
2012;82(4):470-475
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hypoxic pulmonary vasoconstriction is a unique response of the pulmonary circulation to hypoxia. It constitutes part of the self-regulatory mechanism by which pulmonary capillary blood flow is adjusted to alveolar ventilation for maintaining the optimal balance of ventilation and perfusion. In pathological conditions, hypoxic pulmonary vasoconstriction may occur as an acute episode or as a sustained response with pulmonary hypertension and vascular remodeling. We report a case of reversible pulmonary hypertension induced by acute hypoxic pulmonary vasoconstriction in an 18-year-old man with relapsed acute myeloid leukemia, complicated with severe anemia and pneumonia.