RT Book, Section A1 Hay, Jr, William W. A1 Levin, Myron J. A1 Deterding, Robin R. A1 Abzug, Mark J. SR Print(0) ID 1145458187 T1 Pulmonary Hypertension, Persistent T2 Quick Medical Diagnosis & Treatment Pediatrics YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9781264257614 LK accesspediatrics.mhmedical.com/content.aspx?aid=1145458187 RD 2024/04/25 AB Onset of symptoms on day 1 of lifeHypoxia with poor response to high concentrations of inspired oxygenRight-to-left shunts through the foramen ovale, ductus arteriosus, or bothMost often associated with parenchymal lung diseaseThere are three underlying pathophysiologic mechanismsVasoconstriction due to perinatal hypoxia related to an acute event such as sepsis or asphyxiaPrenatal increase in pulmonary vascular smooth muscle development, often associated with meconium aspiration syndromeDecreased cross-sectional area of the pulmonary vascular bed associated with lung hypoplasia (eg, diaphragmatic hernia)