PMID- 11178633 OWN - NLM STAT- MEDLINE DCOM- 20010412 LR - 20191104 IS - 1093-5266 (Print) IS - 1093-5266 (Linking) VI - 4 IP - 2 DP - 2001 Mar-Apr TI - Congenital alveolar capillary dysplasia with misalignment of pulmonary veins associated with hypoplastic left heart syndrome. PG - 167-74 AB - Three full-term infants died in the first month of life with hypoplastic left heart syndrome (HLH) and persistent pulmonary hypertension (PPH). At postmortem examination, they were found to have alveolar capillary dysplasia with misalignment of pulmonary veins (ACD with MPV). The association of HLH syndrome, and ACD with MPV with intestinal malrotation and/or obstruction, is unique. Decreased blood flow in the ascending aorta in fetuses with left outflow tract obstruction might cause vasoconstriction of pulmonary arterioles to maintain cerebral perfusion. Vasoconstriction early during embryogenesis might lead to decreased growth and development of alveolar capillaries and pulmonary veins. This results in pulmonary hypertension, and the arterial blood is forced to bypass the deficient capillary bed and can drain only via the anomalous bronchial veins. FAU - Rabah, R AU - Rabah R AD - Department of Pathology, Children's Hospital of Michigan and Wayne State University School of Medicine, Detroit 48201-2196, USA. FAU - Poulik, J M AU - Poulik JM LA - eng PT - Case Reports PT - Journal Article PT - Review PL - United States TA - Pediatr Dev Pathol JT - Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society JID - 9809673 SB - IM MH - Capillaries/pathology MH - Fatal Outcome MH - Female MH - Gestational Age MH - Humans MH - Hypertension, Pulmonary/congenital/pathology MH - Hypoplastic Left Heart Syndrome/*pathology MH - Infant, Newborn MH - Intestinal Obstruction/congenital/pathology MH - Male MH - Pulmonary Alveoli/blood supply/*pathology MH - Pulmonary Veins/*abnormalities/*pathology RF - 34 EDAT- 2001/02/15 11:00 MHDA- 2001/04/17 10:01 CRDT- 2001/02/15 11:00 PHST- 2001/02/15 11:00 [pubmed] PHST- 2001/04/17 10:01 [medline] PHST- 2001/02/15 11:00 [entrez] AID - 10.1007/s100240010125 [pii] AID - 10.1007/s100240010125 [doi] PST - ppublish SO - Pediatr Dev Pathol. 2001 Mar-Apr;4(2):167-74. doi: 10.1007/s100240010125.