Document Detail


Reversibility of chronic obstructive lung disease in infants following repair of ventricular septal defect.
MedLine Citation:
PMID:  830908     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The signs of obstructive lung disease dominated the clinical course of ten infants with ventricular septal defects and large left-to-right shunts. Airway obstruction in these patients can be attributed (1) to increase in large airway resistance as the result of compression by enlarged pulmonary arteries or cardiac chambers and (2) to increase in small airway resistance as the result of accumulation of peribronchiolar fluid. The rapid regression of the signs of obstructive airway disease following open heart repair of the ventricular septal defect indicates that the lung disease observed in these infants is secondary to the ventricular septal defect, rather than a primary process. The most effective management in the refractory patients is that of open repair of the defect.
Authors:
A J Hordof; R B Mellins; W M Gersony; C N Steeg
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  90     ISSN:  0022-3476     ISO Abbreviation:  J. Pediatr.     Publication Date:  1977 Feb 
Date Detail:
Created Date:  1977-02-24     Completed Date:  1977-02-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  187-91     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Airway Resistance
Blood Pressure
Carbon Dioxide / blood
Coronary Circulation
Heart Failure / complications
Heart Septal Defects, Ventricular / complications,  surgery*
Humans
Infant
Lung Diseases, Obstructive / etiology,  radiography,  therapy*
Pulmonary Circulation
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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