Cor pulmonale due to adenoidal or tonsillar hypertrophy or both in children. Noninvasive diagnosis and follow-up

S. Sofer, E. Weinhouse, A. Tal, K. L. Wanderman, G. Margulis, A. Leiberman, M. Gueron

Research output: Contribution to journalArticlepeer-review

86 Scopus citations

Abstract

Four children, aged 1 to 3 1/2 , were first seen with cor pulmonale, pulmonary edema and severe respiratory distress due to chronic upper airway obstruction secondary to adenoidal or tonsillar hypertrophy or both. Arterial blood gas values, electrocardiograms and chest x-ray films were compatible with cor pulmonale. Echocardiography (four cases) and radionuclide angiography (two cases) showed severe right ventricular and right atrial dilatation with reduced right ventricular ejection fraction. Following surgery, all four children improved; their echocardiographic and radionuclide findings returned to normal. Cardiac catheterization, traditionally peformed in such cases, was unnecessary. The diagnosis and follow-up of this syndrome are adequately performed noninvasively.

Original languageEnglish
Pages (from-to)119-122
Number of pages4
JournalChest
Volume93
Issue number1
DOIs
StatePublished - 1 Jan 1988

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