title: Profound hypoxemia and pulmonary hypertension in a 7-month-old infant: late presentation of alveolar capillary dysplasia.
abstract: OBJECTIVE
  To report a case of an oldest previously asymptomatic infant diagnosed with alveolar capillary dysplasia who lived a relatively normal life until 7 months of age.
  
  
  METHODS
  Descriptive case report.
  
  
  METHODS
  Intensive care unit of a tertiary care children's hospital.
  
  
  METHODS
  Seven-month-old female infant with profound hypoxemia and pulmonary hypertension.
  
  
  CONCLUSIONS
  Alveolar capillary dysplasia should be considered with a high index of suspicion in an infant who presents with pulmonary hypertension beyond the neonatal period and for which no anatomical cause can be found. Early consideration of open lung biopsy may prevent using costly, invasive, and probably ineffective procedures such as extracorporeal membrane oxygenation.
authors.affiliation: Department of Pediatric Critical Care, , James Whitcomb Riley Hospital for Children, Indianapolis, IN, USA. ssahmed@iupui.ed
authors.forename: Sheikh
authors.initials: S
authors.lastname: Ahmed
authors.forename: Veda
authors.initials: V
authors.lastname: Ackerman
authors.forename: Philip
authors.initials: P
authors.lastname: Faught
authors.forename: Claire
authors.initials: C
authors.lastname: Langston
mesh_terms: D001706:Biopsy; D002196:Capillaries / Q000473:pathology*; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications*; D000860:Hypoxia / Q000150:complications*; D007223:Infant; D011650:Pulmonary Alveoli / Q000098:blood supply* / Q000473:pathology