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Childhood Idiopathic Pulmonary Arterial Hypertension Complicated by Esophageal Intubation

A Case Report

Balmert, Nathaniel J., BS; Prahlow, Joseph A., MD

The American Journal of Forensic Medicine and Pathology: March 2019 - Volume 40 - Issue 1 - p 94–98
doi: 10.1097/PAF.0000000000000426
Case Reports
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Childhood idiopathic pulmonary arterial hypertension (CIPAH) represents a rare disorder of childhood characterized by dyspnea, exercise limitation, and syncope. Common organ-specific pathology includes right ventricular myocardial hypertrophy. The case presented represents a classic case of CIPAH, where death was partially attributable to an unrecognized esophageal intubation, which was placed during emergency transport to an emergency department. The features of CIPAH are presented, along with a discussion related to esophageal intubation and death.

From the Department of Pathology, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI.

Manuscript received June 5, 2018; accepted June 30, 2018.

The authors report no conflict of interest.

Reprints: Joseph A. Prahlow, MD, Department of Pathology, Western Michigan University Homer Stryker M.D. School of Medicine, 300 Portage St, Kalamazoo, MI 49007. E-mail: Joseph.Prahlow@med.wmich.edu.

© 2019 by Lippincott Williams & Wilkins.