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Surgical treatment of infantile lobar emphysema in cardiovascular disease with left-to-right shunts |
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| Authors: | Akinori Isojima Hiroshi Yuasa Minoru Kusagawa Katsuyuki Kubo Nobuo Yamaguchi |
| Affiliation: | (1) Department of Thoracic Surgery, Mie University Hospital, Tsu, Mie Prefecture, Japan;(2) Department of Radiology, Mie University Hospital, Tsu, Mie Prefecture, Japan |
| Abstract: | 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 forccongenital 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. |
| Keywords: | infantile lobar emphysema congenital heart disease with left-to-right shunts pulmonary hypertension respiratory distress |
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