Airway function in infants with vascular rings: preoperative and postoperative assessment.

Abstract:

:Aortic arch anomalies in infancy often cause intrathoracic airway obstruction. Airway function was assessed as part of the diagnostic evaluation in six symptomatic infants both by plethysmography and using a chest compression technique to obtain partial flow-volume loops. Two infants had normal intrathoracic airway function and their symptoms were unrelated to aortic arch abnormalities. The remaining four had complete vascular rings (three double aortic arch, one pulmonary sling) and had increased expiratory airway resistance (Raw) (mean Raw = 700% predicted) and greatly decreased maximum flow rates at functional residual capacity (VmaxFRC; mean VmaxFRC = 34% predicted) with gross shape abnormalities of the flow-volume loop. Postoperatively airway function was substantially improved (mean Raw = 175% predicted, VmaxFRC = 79% predicted) but some abnormality of flow-volume loop shape remained, suggesting that tracheal dynamics were not completely normal in the early postoperative period.

journal_name

Arch Dis Child

authors

Thomson AH,Beardsmore CS,Firmin R,Leanage R,Simpson H

doi

10.1136/adc.65.2.171

subject

Has Abstract

pub_date

1990-02-01 00:00:00

pages

171-4

issue

2

eissn

0003-9888

issn

1468-2044

journal_volume

65

pub_type

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