Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

01 May 2003

Ventilation problems in two children with congenital heart and great arteries defects

Paweł Frieman, Wojciech Krajewski, Jacek Moll

Med Sci Monit 2003; 9(5): 59-59 :: ID: 428737

Abstract

Direct pressure on trachea and bronchi by anatomical defects and changed elements of the circulatory system in infants suffering from congenital heart diseases is problem of special interest for anaesthesiologist. This process ,already initiated ‘in utero ’,results in damage of cartilaginous structure of trachea and bronchi. The loss of their mechanical properties and their flaccidity increase steadily in such cases. Finally mechanical disorders of ventilation occur, and become critical during child ’s spontaneous breathing or anxiety. Intubation and positive pressure mechanical ventilation not always corrects the flow and gas exchange. Sometimes even after successful cardiosurgical correction , normal properties of trachea and bronchi are not regained. These problems are quite typical in two congenital diseases: the aortic defect –‘vascular ring ’,and aneurysmal pulmonary arteries syndrome. We have found that diagnostic process and therapy of such children is very difficult. Stenosis of the trachea resulting from pressure by the vascular ring was diagnosed in one of our patients, the second one patients suffered from the aneurismal pulmonary arteries syndrome. After cardiac corrective surgery the long-lasting, complex intensive care was successful in both cases.

Keywords: congenital heart disease, infants

Add Comment 0 Comments

Editorial

01 May 2024 : Editorial  

Editorial: First Regulatory Approval for Adoptive Cell Therapy with Autologous Tumor-Infiltrating Lymphocytes (TILs) – Lifileucel (Amtagvi)

Dinah V. Parums

DOI: 10.12659/MSM.944927

Med Sci Monit 2024; 30:e944927

In Press

26 Mar 2024 : Clinical Research  

New Computerized Planning Algorithm and Clinical Testing of Optimized Nuss Bar Design for Patients with Pec...

Med Sci Monit In Press; DOI: 10.12659/MSM.943705  

0:00

07 May 2024 : Clinical Research  

Treatment of AVN-Induced Proximal Pole Scaphoid Nonunion Using a Fifth and Fourth Extensor Compartmental Ar...

Med Sci Monit In Press; DOI: 10.12659/MSM.944553  

16 Mar 2024 : Clinical Research  

Diagnostic Efficiency of ACR-TIRADS Score for Differentiating Benign and Malignant Thyroid Nodules of Vario...

Med Sci Monit In Press; DOI: 10.12659/MSM.943228  

08 May 2024 : Clinical Research  

Effect of Individualized PEEP Guided by Driving Pressure on Diaphragm Function in Patients Undergoing Lapar...

Med Sci Monit In Press; DOI: 10.12659/MSM.944022  

Most Viewed Current Articles

17 Jan 2024 : Review article  

Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron Variant

DOI :10.12659/MSM.942799

Med Sci Monit 2024; 30:e942799

0:00

14 Dec 2022 : Clinical Research  

Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase Levels

DOI :10.12659/MSM.937990

Med Sci Monit 2022; 28:e937990

0:00

16 May 2023 : Clinical Research  

Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...

DOI :10.12659/MSM.940387

Med Sci Monit 2023; 29:e940387

0:00

01 Jan 2022 : Editorial  

Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...

DOI :10.12659/MSM.935952

Med Sci Monit 2022; 28:e935952

0:00

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750