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Obstruction of the airways by the heart and pulmonary vessels in infants

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Abstract

It is well known that certain cardiovascular abnormalities, frequently compress the airways in infants [1]. Two additional cardiac mechanisms of airway obstruction are described in this paper: progressive compression of the bronchial tree by left sided cardiac enlargement and infantile cardiac asthma due to compression of the small airways by pulmonary venous congestion. Functional and reversible collapse of the trachea is a frequent finding in cardiac asthma. Infants with these entities often appear to have primary pulmonary disease when in fact the underlying cause of their distress is cardiac in origin.

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References

  1. Berdon, W. E., Baker, D. H.: Vascular anomalies and the infant lung: Rings, slings and other things. Semin. Roentgenol.7, 39 (1972)

    Google Scholar 

  2. Christie, R. V., Meakins, J. C.: The intrapleural pressure in congestive heart failure and its clinical significance. J. Clin. Invest.13, 323 (1934)

    Google Scholar 

  3. Cosby, R. S., Stowell, E. C., Hartwig, B. S., Mayo, M.: Pulmonary function in left ventricular failure, including cardiac asthma. Circulation15, 492 (1957)

    Google Scholar 

  4. Edwards, J. E., Burchell, J. B.: Effects of pulmonary hypertension of the tracheobronchial tree. Dis. Chest38, 272 (1960)

    Google Scholar 

  5. Fearon, B., Shortreed, R.: Tracheobronchial compression by congenital cardiovascular anomalies in children. Ann. Otol. Rhinol. Laryngol.72, 949 (1963)

    Google Scholar 

  6. Hordof, A. J., Mellins, R. B., Gersony, W. M., Steeg, C. N.: Reversibility of chronic obstructive lung disease in infants following repair of ventricular septal defect. J. Pediatr.90, 187 (1977)

    Google Scholar 

  7. Holinger, P. H.: Clinical aspects of congenital anomalies of the larynx, trachea, bronchi and esophagus. J. Laryngol. Otol. 1 (1961)

  8. Holinger, P. H., Johnston, K. C., Zoss, A. R.: Tracheal and bronchial obstruction due to congential cardiovascular anomalies. Ann. Otol. Rhinol. Laryngol.57, 808 (1948)

    Google Scholar 

  9. Plotz, M.: Bronchial spasm in cardiac asthma. Ann. Intern. Med.26, 521 (1947)

    Google Scholar 

  10. Stanger, P., Lucas, R. V., Jr., Edwards, J. E.: Anatomic factors causing respiratory distress in acyanotic congenital cardiac disease. Pediatrics43, 760 (1969)

    Google Scholar 

  11. Talner, N. S., Sanyal, S. K., Halloran, K. H., Gardner, T. H., Ordway, N. K.: Congestive heart failure in infancy. Pediatrics35, 20 (1965)

    Google Scholar 

  12. Weiss, S., Robb, G. P.: Cardiac asthma (Paroxysmal cardiac dyspnea) and the syndrome of left ventricular failure. J.A.M.A.100, 1841 (1933)

    Google Scholar 

  13. Wittenborg, M. H., Gyepes, M. T., Crocker, D.: Tracheal dynamics in infants with respiratory distress, stridor, and collapsing trachea. Radiology88, 653 (1967)

    Google Scholar 

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Cochran, S.T., Gyepes, M.T. & Smith, L.E. Obstruction of the airways by the heart and pulmonary vessels in infants. Pediatr Radiol 6, 81–87 (1977). https://doi.org/10.1007/BF00973527

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