Massive Cardiomegaly due to Dilated Cardiomyopathy Causing Bronchial Obstruction in an Infant
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Dilated cardiomyopathy (DCMP) remains a life threatening disease in young patients and is often difficult to differentiate frommyocarditis. Early recognition and treatment of DCMP are crucial for good prognoses in this patient population. The clinicalcourse of patients with DCMP that result in cardiogenic shock varies according to the etiology as well as patient age. Thevolumetric expansion of the enlarged heart can compress adjacent structures causing a number of related symptoms, especially ininfants with soft cartilaginous bronchi. Therapeutic strategies for treating these issues vary according to the type of complicationencountered. We report a case of severe DCMP with sudden onset of massive cardiomegaly with heart failure complicated bybronchial obstruction in an infant.
Abstract
Dilated cardiomyopathy (DCMP) remains a life threatening disease in young patients and is often difficult to differentiate frommyocarditis. Early recognition and treatment of DCMP are crucial for good prognoses in this patient population. The clinicalcourse of patients with DCMP that result in cardiogenic shock varies according to the etiology as well as patient age. Thevolumetric expansion of the enlarged heart can compress adjacent structures causing a number of related symptoms, especially ininfants with soft cartilaginous bronchi. Therapeutic strategies for treating these issues vary according to the type of complicationencountered. We report a case of severe DCMP with sudden onset of massive cardiomegaly with heart failure complicated bybronchial obstruction in an infant.
참고문헌 (10)
- Harmon WG, "Treating children with idiopathic dilated cardiomyopathy(from the Pediatric Cardiomyopathy Registry)", Am J Cardiol, 104, pp.281~286 (2009)
- Oh JH, "Idiopathic cardiomyopathies in Korean children. - 9-Year Korean Multicenter Study-", Circ J, 75, pp.2228~2234 (2011)
- Shaddy RE, "Pediatric Carvedilol Study Group. Carvedilol for children and adolescents with heart failure: a randomized controlled trial", JAMA, 298, pp.1171~1179 (2007)
- Gazit AZ, "Pharmaceutical management of decompensated heart failure syndrome in children : current state of the art and a new approach", Curr Treat Options Cardiovasc Med, 11, pp.403~409 (2009)
- Leung RS, "Long term treatment of refractory congestive heart failure by continuous positive airway pressure", Can J Cardiol, 15, pp.1009~1012 (1999)
- Kussman BD, "Cardiovascular causes of airway compression", Paediatr Anaesth, 14, pp.60~74 (2004)
- 박성희, "Bronchial compression in an infant with isolated secundum atrial septal defect associated with severe pulmonary arterial hypertension", Korean Journal of Pediatrics, 55(8), pp.297~300 (2012), 대한소아과학회
- Dailey ME, "Airway compression secondary to left atrial enlargement and increased pulmonary artery pressure", Int J Pediatr Otorhinolaryngol, 19, pp.33~44 (1990)
- Sagy M, "Pediatric intrathoracic large airway obstruction : diagnostic and therapeutic considerations", Pediatr Emerg Care, 10, pp.351~358 (1994)
- Goo HW, "Cardiac MDCT in children : CT technology overview and interpretation", Radiol Clin North Am, 49, pp.997~1010 (2011)