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An Adolescent Patient With Idiopathic Pulmonary Arterial Hypertension Weaned Off Intravenous Epoprostenol Following Treatment With Selexipag : A Case Report

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Title: An Adolescent Patient With Idiopathic Pulmonary Arterial Hypertension Weaned Off Intravenous Epoprostenol Following Treatment With Selexipag : A Case Report
Authors: Chida-Nagai, Ayako Browse this author
Tsujioka, Takao Browse this author
Sasaki, Daisuke Browse this author
Izumi, Gaku Browse this author
Yamazawa, Hirokuni Browse this author →KAKEN DB
Takeda, Atsuhito Browse this author →KAKEN DB
Keywords: pulmonary arterial hypertension
epoprostenol
drug transition
adolescence
selexipag
Issue Date: 17-Jun-2022
Publisher: Frontiers Media
Journal Title: Frontiers in Pediatrics
Volume: 10
Start Page: 909595
Publisher DOI: 10.3389/fped.2022.909595
Abstract: Idiopathic pulmonary arterial hypertension (PAH) is a rare, progressive disease affecting the pulmonary arteries. Epoprostenol, a synthetic prostaglandin analog, is the most potent pharmacological treatment modality used in patients with PAH. However, it requires continuous intravenous infusion, which negatively impacts the patient's quality of life and frequently results in complications, such as catheter-related bloodstream infection. We weaned an adolescent female patient off epoprostenol by gradually introducing oral selexipag over a sustained period, following many years of continuous intravenous epoprostenol use alone. Oral selexipag might have an efficacy comparable to epoprostenol in young patients with PAH.
Type: article
URI: http://hdl.handle.net/2115/87999
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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