My 9 y/o boy was diagnosed with Idiopathic Pulmonary Arterial Hypertension (IPAH), what do you recommend?

Dear Doctors
Hello
9-year-old boy three years ago with shortness of breath at rest and when you’re talking to a doctor pulmonologist and cardiologist referral and ipah disease was diagnosed.
Sildenafild and bosentan reduced pulmonary arterial pressure to consume drugs.
Angiography and echocardiography is attached.
Please ..
Your recommendations as to best treatment(…)?
thanks

ipah-disease


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