title: Ventricular septal defect complicated by infantile lobar emphysema.
abstract: An infant with ventricular septal defect, atrial septal defect, and Down syndrome (trisomy 21) was referred to our institution. The patient gradually developed infantile lobar emphysema of the right upper lobe and became dependent on mechanical ventilator support. When the patient was five months of age, we successfully performed a total correction of cardiac anomalies combined with a right upper lobectomy. The resection of the right upper lobe was performed under cardiopulmonary bypass through a median sternotomy. There was no major airway bleeding or mediastinitis. The patient was extubated on postoperative day 12 and discharged on postoperative day 29.
authors.affiliation: Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Nakata
authors.forename: Tadashi
authors.initials: T
authors.lastname: Ikeda
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Date
authors.forename: Hiraku
authors.initials: H
authors.lastname: Doi
authors.forename: Shiro
authors.initials: S
authors.lastname: Baba
authors.forename: Takuya
authors.initials: T
authors.lastname: Hirata
authors.forename: Ryuzo
authors.initials: R
authors.lastname: Sakata
mesh_terms: D000015:Abnormalities, Multiple; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D004314:Down Syndrome / Q000150:complications / Q000175:diagnosis; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D011013:Pneumonectomy; D011656:Pulmonary Emphysema / Q000150:complications / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy; D012121:Respiration, Artificial; D056346:Sternotomy; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome