case_images: PMC11825759_01
case_images: PMC11825759_02
case_images: First echocardiography showing a severe pulmonary hypertension with tricupsid regurgitation (A) allowing a measure of right ventricular pressure of 98 mmHg on continous dopplrd (B) and a flattened interventricular septum (C).
case_images: fped-13-1478889-g001.jpg
case_images: PMC11825759_02_fped-13-1478889-g001.jpg
case_images: F1
case_images: The interventricular septum was flattened in systole (Figure 1).
case_images: Echocardiography showing a significant improvement after 48 h of treatment, with regression of tricupsid regurgitation and complete normalizazion of right venticular pressure (A) with normal motion of the interventicular septum (B).
case_images: fped-13-1478889-g002.jpg
case_images: PMC11825759_02_fped-13-1478889-g002.jpg
case_images: F2
case_images: 48 h after the onset of the aspecific pulmonary hypertension treatment and vitamin supplements, echocardiogram was repeated which showed significant improvement of right ventricular function (fractional area change of 40%, tricuspid annular plane systolic excursion of 19 mm (Z score - 0.27), regression of tricuspid regurgitation and almost complete normalization of right ventricular pressures of 23 mmHg (Figure 2).
case_images: Timeline of the patient's history, the investigations, the treatments and the follow-up.
case_images: fped-13-1478889-g003.jpg
case_images: PMC11825759_02_fped-13-1478889-g003.jpg
case_images: F3
case_images: Follow-up with echocardiogram assessment showed no relapse with at last follow-up at seven months after the episode (Figure 3).