Published articles on pulmonary hypertension associated with neurofibromatosis type 1
First author [ref.] | Sex | Age years | CT scan | NYHA | PO2 mmHg | FVC % | FEV1 % | DLCO % | mPpa mmHg | CI L·min·m−2 | PVR Wood units | Treatment | Course |
Porterfield [21] | Female | 56 | Interstitial markings in lower lobes. bullae in apex (radio) | III | 33 | 7 | 35 | Calcium antagonist | |||||
Samuels [22] | Male | 51 | Bilateral perfusion defects | III | 57 | 77 | 71 | 49 | 3.4 | 3.0 | Endarterectomy | Improvement after surgery | |
Aoki [23] | Female | 16 | Normal | II | 67 | 116 | 84 | 79 | 49 | 2.1 | 15.1 | Calcium antagonist and anticoagulants | Aggravation and then treatment with i.v. prostanoids. Death 2 years after the diagnosis |
Female | 70 | Normal | III | 48 | 38 | 2.3 | 12.0 | Anticoagulant and isosorbide dinitrate | Aggravation and then treatment with i.v. protanoids | ||||
García Hernandez [24] | Male | 44 | Normal | III | 30 | 107 | 110 | 62 | i.v. prostanoids | Improvement and then death some years after diagnosis | |||
Engel [25] | Female | 60 | Lung cysts and T-7 schwannoma | III | 85 | 90 | 48 | 50 | 2.3 | 10 | ERA, PDE5 inhibitor and i.v. prostanoids | Clinical improvement | |
Female | 69 | Normal | III | 105 | 119 | 66 | 60 | 2.3 | 11 | PDE5 inhibitor | Clinical improvement | ||
Stewart [26] | Female | 72 | Mosaic perfusion | IV | 66 | 73 | 35 | 2.7 | 5.4 | Calcium antagonists and i.v. prostanoids | Death from respiratory failure | ||
Female | 56 | Mild ground-glass attenuation in the upper lobes and lung cysts | III | 83 | 76 | 41 | 68 | 1.6 | i.v. prostanoids | Death 2 years after diagnosis from respiratory failure | |||
Male | 68 | Lung cysts | 49 | 2.4 | 5.4 | Calcium antagonists | Death 6 years after diagnosis from RH failure | ||||||
Female | 33 | Mosaic perfusion | 34 | 38 | 53 | 1.3 | 24.4 | ERA and PDE5 inhibitor | Death 1 year after starting treatment | ||||
Simeoni [27] | Female | 51 | Nodular lesions and schwannoma in the upper mediastinum | III | 72 | 65 | ERA | Stable after 2 years of treatment | |||||
Montani [28] | Female | 59 | Normal | III | 73 | 104 | 59 | 48 | 2.0 | 12.0 | Anticoagulants, ERA and i.v. prostanoids | Death after 6 months | |
Female | 63 | Moderate pulmonary fibrosis with large bullae | III | 58 | 52 | 45 | 27 | 52 | 1.9 | 14.4 | Anticoagulants, PDE5 inhibitor, ERA and i.v. prostanoids | Death after 42 months | |
Female | 53 | Lung cysts and interstitial infiltrate | III | 109 | 25 | 47 | 2.7 | 8.0 | Anticoagulants, PDE5 inhibitor, ERA and i.v. prostanoids | Death after 46 months | |||
Female | 69 | Normal | III | 67 | 103 | 39 | 54 | 2.3 | 14.4 | PDE5 inhibitor and ERA, prostanoids declined | Alive at 36 months but more severe | ||
Male | 66 | Mosaic perfusion and mild emphysema | III | 69 (3 L) | 104 | 48 | 43 | 2.1 | 9.3 | Anticoagulants, PDE5 inhibitor and ERA | Alive at 8 months | ||
Female | 63 | Lung cysts | III | 51 | 69 | 69 | 23 | 36 | 3.3 | Anticoagulants and ERA | Alive at 18 months. On a waiting list for lung transplant | ||
Female | 53 | Lung cysts | III | 79 (4 L) | 83 | 29 | NA | 31 | 4.7 | No | Alive at 3 months | ||
Female | 61 | Lung cysts and interstitial infiltrate | III | 40 | 95 | 24 | 37 | 2.3 | 7.1 | Anticoagulants, ERA, i.v. prostanoids then lung transplantation | Alive 8 months after diagnosis and 1 month after lung transplantation | ||
Gumbiene [29] | Female | 30 | Mosaic perfusion | IV | 115 | 111 | 55 | 49 | 2.5 | 15 | Anticoagulants, PDE5 inhibitor and ERA | Death after 3 months | |
Malviya [30] | Male | 34 | Mosaic perfusion | II | 58 | 2.7 | 19 | PDE5 inhibitor and balloon atrial septostomy | Alive 8 months after diagnosis | ||||
Male | 44 | Mosaic perfusion and localised fibrotic lesion | IV | 74 | 66 | 44 | 48 | 1.7 | 26.5 | ERA and PDE5 inhibitor | Alive after 15 months and improved | ||
Tamura [31] | Female | 30 | NA | II | 39 | i.v. prostanoid then PDE5 inhibitor and ERA then sorafenib | Alive 6 years after the diagnosis | ||||||
Martignac [32] | Female | 64 | Lung cysts, ground-glass opacities and suspect mass | III | 64 | 72 | 26 | 62 | 1.9 | 21.4 | Anticoagulants, ERA and PDE5 inhibitor | Death after 4 months | |
Kamdar [33] | Female | 69 | NA | 39 | 23 | PDE5 inhibitor and i.v. prostanoid | Improvement and alive after 12 months | ||||||
Giannakoulas [34] | Female | 57 | Normal | 84 | 1.9 | 27.1 | Anticoagulants, ARE and PDE5 inhibitor then balloon atrial septostomy followed by i.v. prostanoids | Improvement and alive after 24 months | |||||
Chaddha [35] | Female | 63 | Lung cysts, ground-glass opacities and interlobular septal thickening | IV | 60 | 2.1 | 14 | PDE5 inhibitor and i.v. prostanoids (stopped after pulmonary oedema) | Pulmonary oedema under vasodilator. Death after 3 months | ||||
Küçük [36] | Female | 46 | Mosaic perfusion pattern | II | 91 | 100 | 93 | 85 | 2.9 | 16 | Calcium antagonists and ERA | Improvement | |
Poble [37] | Female | 55 | Lung cysts | III | 68 | 93 | 104 | 49 | 41 | 2 | 19 | Anticoagulants, PDE5 inhibitor and ERA | Improvement and alive after 9 months |
Palot [38] | Female | 55 | Intrathoracic meningocele and scoliosis | IV | 53 | 51 | 68 | 30 | 4.9 | Noninvasive ventilation | Improvement after 1 month |
CT: computed tomography; NYHA: New York Heart Association; PO2: oxygen tension; FVC: forced vital capacity; FEV1: forced expiratory volume in 1 s; DLCO: diffusing capacity of the lung for carbon monoxide; mPpa: mean pulmonary artery pressure; CI: cardiac index; PVR: pulmonary vascular resistance; NA: not available; ERA: endothelin receptor antagonist; PDE5: phosphodiesterase-5.