Résumé
Abstract Pulmonary interstitial emphysema (PIE) is a common problem in premature neonates with respiratory distress syndrome. This condition is often related to barotrauma caused by mechanical ventilation or continuous positive airway pressure applied to low birth weight neonates. The clinical diagnosis can be challenging. However, after proper diagnosis, several interventions are available for successful management. We describe an infant who developed severe PIE with recurrent pneumothoraces and development of a persistent bronchopleural fistula shortly after repair of a hypoplastic aortic arch and description of successful lobectomy with the assistance of extracorporeal support (ECMO).
Sujets)
Humains , Mâle , Nouveau-né , Adulte d'âge moyen , Aorte thoracique/chirurgie , Maladies de l'aorte/chirurgie , Emphysème pulmonaire/étiologie , Procédures de chirurgie cardiaque/effets indésirables , Aorte thoracique/malformations , Aorte thoracique/imagerie diagnostique , Maladies de l'aorte/congénital , Maladies de l'aorte/imagerie diagnostique , Emphysème pulmonaire/imagerie diagnostique , Nourrisson à faible poids de naissance , Prématuré , Oxygénation extracorporelle sur oxygénateur à membraneSujets)
Aorte abdominale , Maladies de l'aorte/congénital , Maladies de l'aorte/traitement médicamenteux , Maladies de l'aorte/imagerie diagnostique , Analyse chimique du sang , Gazométrie sanguine , Évolution de la maladie , Issue fatale , Héparine/usage thérapeutique , Humains , Nouveau-né , Mâle , Indice de gravité de la maladie , Traitement thrombolytique/méthodes , Thrombose/congénital , Thrombose/traitement médicamenteux , Thrombose/imagerie diagnostique , Échec thérapeutique , Échographie-dopplerRésumé
Various systemic arteriovenous fistulas have been described. The arteriovenous fistula arising from the ascending aorta and draining separately into the superior vena cava is very uncommon. The authors report a case of congenital aortocaval fistula to the superior vena cava in a 22 year-old woman in whom the fistula was closed successfully.