01 May 2003
Med Sci Monit 2003; 9(5): 59-59 :: ID: 428737
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
01 December 2022 : EditorialEditorial: The World Health Organization (WHO) Fungal Priority Pathogens List in Response to Emerging Fungal Pathogens During the COVID-19 Pandemic
Med Sci Monit 2022; 28:e939088
29 November 2022 : Clinical ResearchRetrospective Study to Identify Risk Factors for Severe Disease and Mortality Using the Modified Early Warn...
Med Sci Monit In Press; DOI: 10.12659/MSM.938647
24 November 2022 : Clinical ResearchA Prospective Questionnaire-Based Study to Evaluate Factors Affecting the Decision to Receive COVID-19 Vacc...
Med Sci Monit In Press; DOI: 10.12659/MSM.938665
01 December 2022 : EditorialEditorial: The World Health Organization (WHO) Fungal Priority Pathogens List in Response to Emerging Funga...
Med Sci Monit 2022; 28:e939088
05 Dec 2022 : Database AnalysisImpact of the De Ritis Ratio on the Prognosis of Patients with Stable Coronary Artery Disease Undergoing Pe...
Med Sci Monit In Press; DOI: 10.12659/MSM.937737
02 Dec 2022 : Clinical ResearchValue of Early Laparoscopic Exploration for Primary Infertile Patients with Patent Fallopian Tubes Complica...
Med Sci Monit In Press; DOI: 10.12659/MSM.938637
30 Nov 2022 : Clinical ResearchRetrospective Evaluation of Hematological and Clinical Factors Associated with 30-Day Mortality in 170 Pati...
Med Sci Monit In Press; DOI: 10.12659/MSM.938674
Most Viewed Current Articles
13 Nov 2021 : Clinical ResearchAcceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...
Med Sci Monit 2021; 27:e932788
30 Dec 2021 : Clinical ResearchRetrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...
Med Sci Monit 2021; 27:e935379
01 Nov 2020 : Review articleLong-Term Respiratory and Neurological Sequelae of COVID-19
Med Sci Monit 2020; 26:e928996