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Pulmonary artery hypoplasia

MedGen UID:
75585
Concept ID:
C0265910
Congenital Abnormality
Synonyms: Congenital hypoplasia of pulmonary artery; PAH; pulmonary artery hypoplasia; pulmonary artery hypoplasia (disease); Underdeveloped lung artery; Underdeveloped pulmonary artery; Unilateral Pulmonary Artery Hypoplasia
SNOMED CT: Pulmonary artery hypoplasia (54682008); Congenital hypoplasia of pulmonary artery (54682008)
 
HPO: HP:0004971
Monarch Initiative: MONDO:0020419
Orphanet: ORPHA99083

Definition

Underdevelopment of the pulmonary artery. [from HPO]

Conditions with this feature

Dilated cardiomyopathy 1S
MedGen UID:
371831
Concept ID:
C1834481
Disease or Syndrome
Any familial isolated dilated cardiomyopathy in which the cause of the disease is a mutation in the MYH7 gene.
Keutel syndrome
MedGen UID:
383722
Concept ID:
C1855607
Disease or Syndrome
Keutel syndrome (KTLS) is an autosomal recessive disorder characterized by multiple peripheral pulmonary stenoses, brachytelephalangy, inner ear deafness, and abnormal cartilage ossification or calcification (summary by Khosroshahi et al., 2014).
Seckel syndrome 9
MedGen UID:
907155
Concept ID:
C4225212
Disease or Syndrome
Any Seckel syndrome in which the cause of the disease is a mutation in the TRAIP gene.
Heterotaxy, visceral, 7, autosomal
MedGen UID:
902629
Concept ID:
C4225217
Disease or Syndrome
Autosomal visceral heterotaxy-7 is an autosomal recessive developmental disorder characterized by complex congenital heart malformations and/or situs inversus and caused by defects in the normal left-right asymmetric positioning of internal organs. The phenotype is variable (summary by Guimier et al., 2015). For a discussion of the genetic heterogeneity of visceral heterotaxy, see HTX1 (306955).
Ritscher-Schinzel syndrome 2
MedGen UID:
897005
Concept ID:
C4225419
Disease or Syndrome
Ritscher-Schinzel syndrome (RSS) is a clinically recognizable condition that includes the cardinal findings of craniofacial features, cerebellar defects, and cardiovascular malformations resulting in the alternate diagnostic name of 3C syndrome. Dysmorphic facial features may include brachycephaly, hypotonic face with protruding tongue, flat appearance of the face on profile view, short midface, widely spaced eyes, downslanted palpebral fissures, low-set ears with overfolding of the upper helix, smooth or short philtrum, and high or cleft palate. Affected individuals also typically have a characteristic metacarpal phalangeal profile showing a consistent wavy pattern on hand radiographs. RSS is associated with variable degrees of developmental delay and intellectual disability. Eye anomalies and hypercholesterolemia may be variably present.
Diaphragmatic hernia 4, with cardiovascular defects
MedGen UID:
1823983
Concept ID:
C5774210
Disease or Syndrome
Diaphragmatic hernia-4 with cardiovascular defects (DIH4) is an autosomal recessive congenital anomaly syndrome characterized by the presence of diaphragmatic hernia or eventration apparent at birth. Affected infants have associated pulmonary hypoplasia and respiratory insufficiency resulting in death in infancy. Most also have variable cardiovascular defects, including aortopulmonary window or conotruncal anomalies. Dysmorphic facial features and mild distal limb anomalies are sometimes observed (Beecroft et al., 2021). For a discussion of genetic heterogeneity of congenital diaphragmatic hernia (CDH), see DIH1 (142340).

Professional guidelines

PubMed

Habib PA, Bae S, Turan S, Sundararajan S
Neoreviews 2023 Dec 1;24(12):e829-e835. doi: 10.1542/neo.24-12-e829. PMID: 38036449
Baerlocher L, Kretschmar O, Harpes P, Arbenz U, Berger F, Knirsch W
Clin Res Cardiol 2008 May;97(5):310-7. Epub 2007 Dec 28 doi: 10.1007/s00392-007-0631-8. PMID: 18491172

Recent clinical studies

Etiology

Petit CJ, Glatz AC, Goldstone AB, Law MA, Romano JC, Maskatia SA, Chai PJ, Zampi JD, Meadows JJ, Nicholson GT, Shahanavaz S, Qureshi AM, McCracken CE, Mascio CE, Batlivala SP, Asztalos IB, Healan SJ, Smith JD, Pettus JA, Beshish A, Raulston JEB, Hock KM, Pajk AL, Goldstein BH
J Am Coll Cardiol 2023 Aug 15;82(7):615-627. doi: 10.1016/j.jacc.2023.05.051. PMID: 37558375
Gao B, Zhu Z
Eur J Cardiothorac Surg 2022 Jun 15;62(1) doi: 10.1093/ejcts/ezac326. PMID: 35640132
Brink J, MacIver R, Lee MG, Konstantinov IE, Cheung M, Brizard CP, d'Udekem Y
Ann Thorac Surg 2015 Feb;99(2):641-7. Epub 2014 Dec 20 doi: 10.1016/j.athoracsur.2014.09.034. PMID: 25534528
Maeda K, Yamaki S, Yokota M, Murakami A, Takamoto S
J Thorac Cardiovasc Surg 2004 Feb;127(2):448-56. doi: 10.1016/s0022-5223(03)01193-0. PMID: 14762354
Shendge H, Tullu MS, Shenoy A, Chaturvedi R, Kamat JR, Khare M, Joshi A
Indian J Pediatr 2002 Sep;69(9):825-7. doi: 10.1007/BF02723701. PMID: 12420920

Diagnosis

Habib PA, Bae S, Turan S, Sundararajan S
Neoreviews 2023 Dec 1;24(12):e829-e835. doi: 10.1542/neo.24-12-e829. PMID: 38036449
Touil I, Boudawara NK, Bouchareb S, Knani J, Boussoffara L
Pan Afr Med J 2020;36:14. Epub 2020 May 12 doi: 10.11604/pamj.2020.36.14.22539. PMID: 32774591Free PMC Article
Nitta M, Ozawa S, Oguma J, Kazuno A, Ninomiya Y, Nishi T, Shimada H, Myojin K
Gen Thorac Cardiovasc Surg 2017 Jul;65(7):425-428. Epub 2017 May 2 doi: 10.1007/s11748-017-0780-2. PMID: 28466245
Shendge H, Tullu MS, Shenoy A, Chaturvedi R, Kamat JR, Khare M, Joshi A
Indian J Pediatr 2002 Sep;69(9):825-7. doi: 10.1007/BF02723701. PMID: 12420920
Hornberger LK, Sanders SP, Sahn DJ, Rice MJ, Spevak PJ, Benacerraf BR, McDonald RW, Colan SD
J Am Coll Cardiol 1995 Mar 1;25(3):739-45. doi: 10.1016/0735-1097(94)00422-M. PMID: 7860923

Therapy

Mølgaard-Nielsen D, Pasternak B, Hviid A
N Engl J Med 2013 Aug 29;369(9):830-9. doi: 10.1056/NEJMoa1301066. PMID: 23984730
Kandakure PR, Dharmapuram AK, Ramadoss N, Babu V, Rao IM, Murthy KS
Asian Cardiovasc Thorac Ann 2010 Aug;18(4):368-72. doi: 10.1177/0218492310375856. PMID: 20719789
Honjo O, Tran KC, Hua Z, Sapra P, Alghamdi AA, Russell JL, Caldarone CA, Van Arsdell GS
J Thorac Cardiovasc Surg 2010 Sep;140(3):522-8, 528.e1. doi: 10.1016/j.jtcvs.2010.04.036. PMID: 20621311
Liu XG, Wu KH, Li XF, Shi C, Wang ZY, Tang Z, Shi XQ, Liu YL
J Surg Res 2006 Dec;136(2):320-4. Epub 2006 Oct 23 doi: 10.1016/j.jss.2006.08.024. PMID: 17059834
Reichart B, Gulbins H, Meiser BM, Kur F, Briegel J, Reichenspurner H
Transplantation 2003 Jan 15;75(1):127-32. doi: 10.1097/00007890-200301150-00023. PMID: 12544884

Prognosis

Kavgacı A, Terlemez S, Tunç O, Kula S
Cardiol Young 2023 May;33(5):819-821. Epub 2022 Aug 30 doi: 10.1017/S1047951122002803. PMID: 36039782
Baerlocher L, Kretschmar O, Harpes P, Arbenz U, Berger F, Knirsch W
Clin Res Cardiol 2008 May;97(5):310-7. Epub 2007 Dec 28 doi: 10.1007/s00392-007-0631-8. PMID: 18491172
Atik E, Tanamati C, Kajita L, Barbero-Marcial M
Arq Bras Cardiol 2006 Oct;87(4):423-8. doi: 10.1590/s0066-782x2006001700005. PMID: 17128310
Liu XG, Wu KH, Li XF, Shi C, Wang ZY, Tang Z, Shi XQ, Liu YL
J Surg Res 2006 Dec;136(2):320-4. Epub 2006 Oct 23 doi: 10.1016/j.jss.2006.08.024. PMID: 17059834
Shendge H, Tullu MS, Shenoy A, Chaturvedi R, Kamat JR, Khare M, Joshi A
Indian J Pediatr 2002 Sep;69(9):825-7. doi: 10.1007/BF02723701. PMID: 12420920

Clinical prediction guides

Petit CJ, Glatz AC, Goldstone AB, Law MA, Romano JC, Maskatia SA, Chai PJ, Zampi JD, Meadows JJ, Nicholson GT, Shahanavaz S, Qureshi AM, McCracken CE, Mascio CE, Batlivala SP, Asztalos IB, Healan SJ, Smith JD, Pettus JA, Beshish A, Raulston JEB, Hock KM, Pajk AL, Goldstein BH
J Am Coll Cardiol 2023 Aug 15;82(7):615-627. doi: 10.1016/j.jacc.2023.05.051. PMID: 37558375
Şişli E, Tuncer ON, Şenkaya S, Doğan E, Şahin H, Ayık MF, Atay Y
Pediatr Cardiol 2019 Jan;40(1):38-44. Epub 2018 Aug 18 doi: 10.1007/s00246-018-1958-9. PMID: 30121861
Zhang Y, Hua Z, Yang K, Zhang H, Yan J, Wang X, Chu J, Ma K, Li S
Eur J Cardiothorac Surg 2014 Aug;46(2):297-303; discussion 303. Epub 2014 Jan 12 doi: 10.1093/ejcts/ezt622. PMID: 24420372
Honjo O, Tran KC, Hua Z, Sapra P, Alghamdi AA, Russell JL, Caldarone CA, Van Arsdell GS
J Thorac Cardiovasc Surg 2010 Sep;140(3):522-8, 528.e1. doi: 10.1016/j.jtcvs.2010.04.036. PMID: 20621311
Hornberger LK, Sanders SP, Sahn DJ, Rice MJ, Spevak PJ, Benacerraf BR, McDonald RW, Colan SD
J Am Coll Cardiol 1995 Mar 1;25(3):739-45. doi: 10.1016/0735-1097(94)00422-M. PMID: 7860923

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