[Lung sequestration as a cause of acute cardiac decompensation in a 3-week-old newborn infant].
A 3 week old neonate developed congestive heart failure after the operation of an omphalocele. The clinical aspect first suggested to us a persistent ductus arteriosus. Cardiac catheterisation then revealed a bronchopulmonary sequestration, a rare congenital malformation. Children usually become symptomatic with chronic respiratory tract infections, although there are also asymptomatic courses. Only a few cases are reported with congestive heart failure being the initial symptom. Many patients show additional malformations--so did our baby with an omphalocele and a mild peripheral pulmonary stenosis. Once the diagnosis is made, resection or lobectomy is the therapy of choice. In the preoperative diagnosis angiography is mandatory to demonstrate the abnormal vascular supply.
Kotthoff
S
S
Abteilung Pädiatrische Kardiologie, Universitäts-Kinderklinik und Poliklinik, Göttingen.
Eigster
G
G
Naib
I
I
Vogt
J
J
D000790:Angiocardiography; D001998:Bronchopulmonary Sequestration / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006328:Cardiac Catheterization; D003937:Diagnosis, Differential; D004452:Echocardiography; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D008297:Male
Lungensequester als Ursache einer akuten kardialen Dekompensation bei einem 3 Wochen alten Neugeborenen.