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A hemodynamic-driven approach to chronic pulmonary hypertension in congenital diaphragmatic hernia
Journal article   Open access   Peer reviewed

A hemodynamic-driven approach to chronic pulmonary hypertension in congenital diaphragmatic hernia

Carly E Byrd, John T Wren Jr, Suneetha Desiraju and Patrick J McNamara
Journal of perinatology
02/23/2026
DOI: 10.1038/s41372-026-02582-4
PMID: 41731046
url
https://doi.org/10.1038/s41372-026-02582-4View
Published (Version of record) Open Access

Abstract

Despite ample research in acute pulmonary hypertension in neonates with congenital diaphragmatic hernia (CDH) leading to improved survival, there is a paucity of literature on the physiology of chronic pulmonary hypertension in this population. Serial hemodynamic assessments and physiology-centric care have been shown to be safe and effective in the acute transitional and peri-operative care of these neonates and will likely be informative in the discussion of chronic pulmonary hypertension as well. Herein, we discuss the epidemiology, contributors, and proposed physiology-based phenotypes of chronic pulmonary hypertension in neonates with CDH. Further investigation is needed to contribute to our understanding and treatment of chronic pulmonary hypertension in this complex, heterogeneous population.

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