Surgical treatment of infantile lobar emphysema in cardiovascular disease with left-to-right shunts

Serious symptoms associated with the lobar emphysema in congenital heart diseases with left-to-right shunt disappeared after radical operation for cardiac lesion. The study of seven autopsied cases revealed that the lobar emphysema resulted from check valve mechanism created by compression of the br...

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Bibliographic Details
Published in:Japanese journal of surgery 1978-03, Vol.8 (1), p.57-65
Main Authors: Isojima, A, Yuasa, H, Kusagawa, M, Kubo, K, Yamaguchi, N
Format: Article
Language:English
Subjects:
Bronchi - pathology
Ductus Arteriosus, Patent - surgery
Female
Heart Defects, Congenital - complications
Heart Defects, Congenital - surgery
Heart Septal Defects, Ventricular - surgery
Humans
Infant
Male
Methods
Pulmonary Artery - pathology
Pulmonary Emphysema - complications
Pulmonary Emphysema - pathology
Pulmonary Emphysema - surgery
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Summary:Serious symptoms associated with the lobar emphysema in congenital heart diseases with left-to-right shunt disappeared after radical operation for cardiac lesion. The study of seven autopsied cases revealed that the lobar emphysema resulted from check valve mechanism created by compression of the bronchi by distended pulmonary artery. Eight cases of our experience of lobar emphysema disappeared shortly after the operation for congenital heart disease with left-to-right shunt seems to indicate infantile lobar emphysema in congenital heart diseases with left-to-right shunt should not be treated by resection but rather by radical operation for cardiac lesion as soon as possible even in infancy.
ISSN:0047-1909
1436-2813
DOI:10.1007/BF02469336