ISSN:
1432-1998
Keywords:
Infantile lobar emphysema
;
Pulmonary angiography
;
Cardiac catheterization
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Lobar emphysema is an uncommon cause of respiratory distress in infancy. Congenital heart disease is seen in about 20% of the patients with infantile (congenital) lobar emphysema. We described six infants with lobar emphysema. In three of them a congenital heart disease was demonstrated by cardiac catheterization and cineangiography; two had a tetralogy of Fallot with right aortic arch and the third infant a ventricular septal defect. The pulmonary angiography showed stretching of the arteries with very poor filling of the peripheral arteries and a characteristic smaller pulmonary vein in the affected lobe. In all the six patients the pulmonary artery pressure was normal. All the patients underwent lobectomy with good results. We feel that a preoperative cardiac catheterization and cineangiography is of value in this very sick group of infants.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01001742
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