학술논문

Use of the index of pulmonary vascular disease for predicting long-term outcome of pulmonary arterial hypertension associated with congenital heart disease
Document Type
article
Author
Ayako Chida-NagaiNaoki MasakiKay MaedaKonosuke SasakiHiroki SatoJun MuneuchiYoshie OchiaiHiroomi MurayamaMasahiro TaharaAtsuko ShionoAtsushi ShinozukaFumihiko KonoDaisuke MachidaShinichi ToyookaSeiichiro SugimotoKazufumi NakamuraSatoshi AkagiMaiko KondoShingo KasaharaYasuhiro KotaniJunichi KoizumiKatsuhiko OdaMasako HaradaDaisuke NakajimaAkira MurataHazumu NagataKoichi YatsunamiTomio KobayashiYoshikiyo MatsunagaTakahiro InoueHiroyuki YamagishiNaomi NakagawaKatsuki OhtaniMasaki YamamotoYushi ItoTatsunori HokosakiYuta KuwaharaSatoshi MasutaniKoji NomuraTsutomu WadaHirofumi SawadaMasayuki AbikoTatsunori TakahashiYuichi IshikawaSeigo OkadaAtsushi NaitohTakako TodaTatsuya AndoAkihiro MasuzawaShinsuke HoshinoMasaaki KawadaYuichi NomuraKentaro UenoNaoki OhashiTsuyoshi TachibanaYuchen CaoHideaki UedaSadamitsu YanagiMasaaki KoideNorie MitsushitaKouji HigashiYoshihiro MinosakiTomohiro HayashiTakashi OkamotoKenji KuraishiEiji EharaHidekazu IshidaHitoshi HorigomeTakashi MurakamiKohta TakeiTaku IshiiGen HaradaYasutaka HirataJun MaedaShunsuke TatebeChiharu OtaYasunobu HayabuchiHisanori SakazakiTakashi SasakiKeiichi HironoSayo SuzukiMasahiro YasudaAtsuhito TakedaMadoka SawadaKagami MiyajiAtsushi KitagawaYosuke NakaiNobuyuki KakimotoKouta AgematsuAtsushi ManabeYoshikatsu Saiki
Source
Frontiers in Cardiovascular Medicine, Vol 10 (2023)
Subject
index of pulmonary vascular disease
pulmonary arterial hypertension
congenital heart disease
pediatrics
outcome
Diseases of the circulatory (Cardiovascular) system
RC666-701
Language
English
ISSN
2297-055X
Abstract
AimsLimited data exist on risk factors for the long-term outcome of pulmonary arterial hypertension (PAH) associated with congenital heart disease (CHD-PAH). We focused on the index of pulmonary vascular disease (IPVD), an assessment system for pulmonary artery pathology specimens. The IPVD classifies pulmonary vascular lesions into four categories based on severity: (1) no intimal thickening, (2) cellular thickening of the intima, (3) fibrous thickening of the intima, and (4) destruction of the tunica media, with the overall grade expressed as an additive mean of these scores. This study aimed to investigate the relationship between IPVD and the long-term outcome of CHD-PAH.MethodsThis retrospective study examined lung pathology images of 764 patients with CHD-PAH aged