Case 2 - Moderate PH in BPD

An extremely premature infant, born at 26 weeks gestation with evidence of growth restriction (birth weight: 650 grams), in the context of maternal hypertension, underwent TnECHO screening at 36 weeks to evaluate for presence of pulmonary hypertension. At the time of the screening, the baby was on CPAP at +5 cmH2O with an FiO2 of 30%. On clinical examination, there was no hepatomegaly. Heart sounds were normal (S1, S2), with no gallop or murmur detected. Perfusion was adequate, and a recent airway evaluation was within normal limits. The baby had previously been treated with postnatal steroids for pulmonary disease while on mechanical ventilation. The first TnECHO, performed on day 1 of life, had already confirmed closure of the ductus arteriosus. The blood pressure at the time of the TnECHO was 76/41 via non-invasive oscillometry method (right arm). Baby remained calm/asleep all throughout the TnECHO and when obtaining the blood pressure.