Abstract:
:A case of cardiomegaly with unilateral pulmonary edema is presented. The predisposing etiologies were severe hypoglycemia and a hypertonic glucose infusion into a branch of the left lower lobe pulmonary vein. Resolution resulted following maintenance of adequate glucose levels, vigorous cardiopulmonary support, and repositioning of the catheter tip in the inferior vena cava. The pathophysiologic mechanism was direct endothelial injury with an osmotic diuresis. The role of the release of a vasoactive substance was postulated.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Kerkering KW,Robertson LW,Kodroff MB,Mueller DG,Kirkpatrick BVsubject
Has Abstractpub_date
1980-02-01 00:00:00pages
326-30issue
2eissn
0031-4005issn
1098-4275journal_volume
65pub_type
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