Pulmonary oedema associated with mitral regurgitation: prevalence of predominant right upper lobe involvement in children.

Détails

ID Serval
serval:BIB_1A55E411432A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Pulmonary oedema associated with mitral regurgitation: prevalence of predominant right upper lobe involvement in children.
Périodique
Pediatric Radiology
Auteur⸱e⸱s
Gudinchet F., Rodoni P., Sarraj A., Payot M., Schnyder P.
ISSN
0301-0449
Statut éditorial
Publié
Date de publication
04/1998
Peer-reviewed
Oui
Volume
28
Numéro
4
Pages
260-262
Langue
anglais
Notes
Publication types: Journal Article
Résumé
OBJECTIVE. To evaluate the hypothesis that pulmonary venous congestion and oedema manifested predominantly in the right upper lobe in children with mitral regurgitation occur more frequently than previously thought. MATERIALS AND METHODS. Three radiologists retrospectively and independently reviewed the plain chest radiographs of 54 children (26 girls, 28 boys, age range 2 days-18 years, median 9.5 years) with mitral regurgitation admitted to our institution during a 5-year period. Radiographs showing pulmonary venous congestion and oedema manifested predominantly in the right upper lobe were identified. Clinical records of these patients were studied to exclude other causes of pulmonary disease. RESULTS. Radiographic signs of pulmonary venous congestion and oedema were present in all patients, with redistribution of flow and interstitial oedema in 39 patients (72 %) and alveolar oedema in 15 children (28 %). In 12 (22 %) of 54 children, these findings were localised or predominant in the upper lobe of the right lung; none of the children had predominantly left-sided involvement. CONCLUSIONS. Pulmonary venous congestion and oedema involving predominantly the upper lobe of the right lung in children with mitral regurgitation occur more frequently than previously thought. This finding is useful in the differential diagnosis of right upper lobe abnormalities, such as pneumonia.
Mots-clé
Adolescent, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Mitral Valve Insufficiency/complications, Pulmonary Edema/epidemiology, Pulmonary Edema/etiology
Pubmed
Web of science
Création de la notice
08/04/2008 14:38
Dernière modification de la notice
20/08/2019 12:51
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