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Dependence on a respiratory ventilator due to an atrial septal defect

Published online by Cambridge University Press:  19 August 2008

Reinald Motz*
Affiliation:
Paediatric Hospital of the University of Innsbruck, Innsbruck, Austria
Gerhard Grässl
Affiliation:
Paediatric Hospital of the University of Innsbruck, Innsbruck, Austria
Rudolf Trawöger
Affiliation:
Paediatric Hospital of the University of Innsbruck, Innsbruck, Austria
*
Reinald Motz, FRACP MD, Zentrum für kinder und Jugendliche, Elisabeth Krankenhaus, Stadt Kliniken Oldenburg, Cloppenburgersrr 363, 26133 Olderburg. Germany

Abstract

An atrial septal defect is commonly thought of as a benign cardiac lesion especially in infancy. The haemodynamic consequences for the lungs, nonetheless, can be comparable to that produced by patency of the arterial duct. In a preterm boy, this lesion led to the development of broncho-pulmonary dysplasia, and dependence on a respiratory ventilator. He could be extubated shortly after surgical closure of the septal defect.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2000

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References

1.Gregoire, M-C, Lefebvre, F, Glorieux, J. Health and develop mental outcome at 18 months in very preterm infants with bronchopulmonary dysplasia. Pediatrics 1998: 101 (5); 856860CrossRefGoogle Scholar
2.Morales, P, Rasogi, A, Bez, ML, Akintorin, SM, Pyati, S, Andes, SM, Pildes, RS. Effect of dexamethasone therapy on the neonatal ductus arteriosus. Pediatr Cardiol 1998; 19: 225229CrossRefGoogle Scholar
3.Denef, B, Dumoulin, M, Van der Hauwaert, LG. Usefullness of echocardiographic assessment of right ventricular and pulmonary trunk size for estimating magnitude of left-to-right shunt in children with atrial septal defect. Am J Cardiol 1985; 73: 112Google Scholar
4.Häusler, H-J, Dähnert, I, Dagnachew, A, Kinzel, P, Schneider, P. Echocardiographic assessment of shunt volume in children with atrial septal defect. Z Kardiol 1994; 83: 507512Google Scholar
5.Tammela, OKT. Appropriate fluid regimes to prevent bron chopulmonary dysplasia. Eur J Pediatr 1995; 154 [Suppl]: 1518CrossRefGoogle Scholar
6.Stern, H, Vogel, M, Emmerich, P, Bühlmeyer, K. Accuracy of the ratio of systemic to pulmonary blood flow using Doppler echocardiography in children with isolared-secundum-type atrial septum defect and left-to-right shunt. Z Kardiol 1989; 78: 674679Google Scholar
7.Stern, H, Haberhauer, P, Emmerich, P, Buhlmeyer, K. Interobserver and spontaneous variability of Doppler-derived cardiac output measurements in children with congenital heart disease. Z Kardiol 1990; 79: 8995Google Scholar