Infant thoracic surgery: procedure-dependent pulmonary response

J Pediatr Surg. 1996 Jul;31(7):878-80. doi: 10.1016/s0022-3468(96)90401-7.

Abstract

Respiratory insufficiency is a common complication of thoracic surgery in infants. To better define this dysfunction, pulmonary compliance (CL) and resistance (R) were measured for 17 infants who underwent common thoracic procedures: Blalock-Taussing shunting (n = 7) repair of congenital coarctation of the aorta (n = 10). Measurements were obtained preoperatively and 0, 1, and 3 days postoperatively. Preoperatively, CL was lower and R was similar for the two groups. Both groups had decreased CL and increased R on postoperative day 0; infants with coarctation had recovery to preoperative values by postoperative day 1 for CL, and day 3 for R. CL and R did not return to the preoperative values by postoperative day 3 in infants with a shunt procedure. The changes in R were greater than those in CL for both groups in the postoperative period. These data indicate that such thoracic procedures are associated with pulmonary morbidity that is airway-predominant, and that the degree of compromise and the time until recovery are, in part, procedure-specific.

MeSH terms

  • Airway Resistance / physiology
  • Anastomosis, Surgical
  • Aortic Coarctation / surgery
  • Blood Vessel Prosthesis
  • Ductus Arteriosus, Patent / surgery
  • Follow-Up Studies
  • Heart Defects, Congenital / surgery*
  • Humans
  • Infant, Newborn
  • Lung / physiopathology*
  • Lung Compliance / physiology
  • Positive-Pressure Respiration / methods
  • Pulmonary Artery / surgery
  • Respiration
  • Respiratory Insufficiency / etiology*
  • Subclavian Artery / surgery
  • Ventilator Weaning