A Case of Pulmonary Veno-occlusive Disease Following Hepatic Veno-occlusive Disease After Autologous Hematopoietic Stem Cell Transplantation for Neuroblastoma

Kyohei Isshiki, Karuko Shima, Fumito Yamazaki, Toshiki Takenouchi, Hiroyuki Shimada
Keio University School of Medicine
Japan

Journal od Pediatric Hematology Oncology
J Pediatr Hematol Oncol 2020; 42(7):e677-e679
DOI: 10.1097/MPH.0000000000001566

Abstract
Pulmonary veno-occlusive disease (PVOD) is an uncommon form of pulmonary hypertension that is usually difficult to diagnose and is refractory to conservative treatment. PVOD can occur in connection with high-dose chemotherapy or hematopoietic stem cell transplantation, similar to hepatic veno-occlusive disease (HVOD). Here, we present a case of neuroblastoma with PVOD following HVOD after high-dose chemotherapy that was resolved with conservative treatment. Respiratory symptoms or edema after HVOD may suggest PVOD, and prompt diagnosis on high-resolution computed tomography will result in a favorable prognosis.

Category
Class I. Pulmonary Veno-occlusive Disease and Pulmonary Capillary Hemangiomatosis

Age Focus: Pediatric Pulmonary Vascular Disease

Fresh or Filed Publication: Filed (PHiled). Greater than 1-2 years since publication

Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: Yes

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