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Case Report Sildenafil in the Management of Childhood Severe Idiopathic Pulmonary Arterial Hypertension: A Case Report CKM Tam, KS Lun, EMC Chau, AKT Chau Abstract Prognosis is poor in children with severe idiopathic pulmonary arterial hypertension who present with progressive downhill course. We report the use of oral sildenafil in a 13-year-old girl with suprasystemic idiopathic pulmonary arterial pulmonary hypertension. This therapy improves her quality of life and optimizes the chance of successful lung transplantation. Keyword : Paediatrics; Pulmonary arterial hypertension; Sildenafil |