Hipertensi Pulmonalis Resisten Pasca Peniupan Balon pada Stenosis Mitral
Abstract
Hipertensi Pulmonalis (Arterial) yang terjadi pada Stenosis Mitral termasuk kelompok Hipertensi Pulmonalis Arterial Sekunder akibat adanya Hipertensi Pulmonalis Venous Pasif yang dapat disebabkan berbagai penyakit yaitu antara lain trombosis vena pulmonalis dan bermacam kelainan Jantung Kiri termasuk Penyakit Katub Mitral dan katub Aorta.Dengan koreksi Stenosis Mitral (dengan peniupan balon atau pembedahan) diharapkan terjadi pe-nurunan Hipertensi Pulmonalis Arterial tersebut. Tetapi kenyataannya tidak semua penderita mengalami penurunan tekanan darah arteri pulmonalis. Pada Penelitian Irwan dkk. sekitar 21.1 % penderita masih terdapat Hipertensi Pulmonalis berat. Hal ini mudah dipahami bahwa Hipertensi Pulmonalis apapun sebabnya akhirnya akan terjadi perubahan patologi arteria pulmonalis.
Pada Penyakit Jantung Bawaan (PDA, VSD besar, ASD Besar) dapat terjadi pada dekade 1 sampai ke-3 yang akhirnya menjadi Sindroma Eisenmenger. Heath dan Edwards membuat klasifikasi perubahan patologi menjadi 6 derajat. Pada Hipertensi Pulmonalis Arterial karena penyakit Mitral pun dapat mengalami perubahan patologi.
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References
ACCF/AHA 2009 Expert Consensus Document on Pulmo-nary Hypertension. Report of the American College of Cardiology Foundation and The American Heart Association : Developed in Collaboration with the American College of Chest Physicians, American Thoracic Society, Inc, and The Pulmonary Hypertension Association. Circulation 2009;119:2250-2294.
Rich S, and Rabinovitch M. Diagnosis and Tratment of Secondary (Non-Category 1) Pulmonary Hypertension. Circulation 2008,118:2190-2199.
Song H, Kang D-H, Kim JH, Park K-M, et al. Percutaneous Mitral Valvuloplasty versus Surgical Treatment in Mitral Stenosis with Severe Tricuspid Regurgitation. Circulation 2007;116 (Suppl I): I-246-I-250.
Mubeen M, Singh AK, Agarwal SK, et al Mitral Valve Replacement in Severe Pulmonary Hypertension. Asian Cardiovasc Thorac Ann 2008;16:37-42.
Siahaan IH, Kasim M, Soesanto AM, Harimurti GM. Hipertensi pulmonal persisten segera setelah balloon mitral valvuloplasty. J Kardiol Indones. 2008;29:107-116.
Pietra GG, Capron F, Stewart S, et al. Pathoologic assessment of Vasculopathies in Pulmonary Hypertension. JACC 2004;43: 25S-32S.
Heath D, and Edwards JE. The Pathology of Hypertensive Pulmonary Vascular Disease. A Description of Six Grades of Structural Changes to the Pulmonary Arteries with Special reference to Congenital Cardiac Septal Defects. Circulation 1958;18:533-547.
Chazova I, Robbins I, Loyd J, et al. Venous and arterial changes in Pulmonary Veno-occlusive Disease, Mitral Stenosis and Fibrosing Mediastinitis. Eur Respir J 2000;15 : 116-122.
Shoultz CA, Kelminson LL, Vogel JHK, et al. Hemodynamics in Congenital Mitral Stenosis. Chest 1971;59:47-49.
Elliott CG and Palevsky HI. Treatment with Epoprostenol of Pulmonary Arterial Hypertension following Mitral Valve Replacement for Mitral Stenosis. Thorax 2004;59:536-537.
Jordan SC, Hicken P, Watson DA, et al. Pathology of the Lung in Mitral Stenosis in relation to Respiratory Function and Pulmonary Haemodynamics. Brit Heart J 1966;28:101-106.
Rich S, and Rabinovitch M. Diagnosis and Tratment of Secondary (Non-Category 1) Pulmonary Hypertension. Circulation 2008,118:2190-2199.
Song H, Kang D-H, Kim JH, Park K-M, et al. Percutaneous Mitral Valvuloplasty versus Surgical Treatment in Mitral Stenosis with Severe Tricuspid Regurgitation. Circulation 2007;116 (Suppl I): I-246-I-250.
Mubeen M, Singh AK, Agarwal SK, et al Mitral Valve Replacement in Severe Pulmonary Hypertension. Asian Cardiovasc Thorac Ann 2008;16:37-42.
Siahaan IH, Kasim M, Soesanto AM, Harimurti GM. Hipertensi pulmonal persisten segera setelah balloon mitral valvuloplasty. J Kardiol Indones. 2008;29:107-116.
Pietra GG, Capron F, Stewart S, et al. Pathoologic assessment of Vasculopathies in Pulmonary Hypertension. JACC 2004;43: 25S-32S.
Heath D, and Edwards JE. The Pathology of Hypertensive Pulmonary Vascular Disease. A Description of Six Grades of Structural Changes to the Pulmonary Arteries with Special reference to Congenital Cardiac Septal Defects. Circulation 1958;18:533-547.
Chazova I, Robbins I, Loyd J, et al. Venous and arterial changes in Pulmonary Veno-occlusive Disease, Mitral Stenosis and Fibrosing Mediastinitis. Eur Respir J 2000;15 : 116-122.
Shoultz CA, Kelminson LL, Vogel JHK, et al. Hemodynamics in Congenital Mitral Stenosis. Chest 1971;59:47-49.
Elliott CG and Palevsky HI. Treatment with Epoprostenol of Pulmonary Arterial Hypertension following Mitral Valve Replacement for Mitral Stenosis. Thorax 2004;59:536-537.
Jordan SC, Hicken P, Watson DA, et al. Pathology of the Lung in Mitral Stenosis in relation to Respiratory Function and Pulmonary Haemodynamics. Brit Heart J 1966;28:101-106.
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How to Cite
Pikir, B. (1). Hipertensi Pulmonalis Resisten Pasca Peniupan Balon pada Stenosis Mitral. Indonesian Journal of Cardiology, 29(3), 117-118. https://doi.org/10.30701/ijc.v29i3.183
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