Interstitial Syndrome And Alveolar Consolidation: Sonographic Markers of Hemodynamic Pulmonary Edema In Infants

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Abstract


With the purpose to evaluate the possibility to describe haemodynamic pulmonary oedema in babies with congenital heart disease using the suggested previously for adults sonographic phenomena “alveolar consolidation” and “interstitial syndrome” 131 children of both genders were examined at the age of 1-246 days. Of these, 47 babies had congenital heart anomalies, 51 had chronic somatic pathology and patent foramen ovale and 33 patients had a somatic pathology associated neither with congenital heart disease, nor with small heart abnormalities. The duration of observation and the number of sessions of ultrasound scanning were determined by the dynamics of health status of a baby. All babies were described in terms of 179 characteristics of physical examination, laboratory and instrumental findings, obtained during standard procedures. Echocardiography and ultrasound lung scans were performed with LOGIO E (General Electric) and HD11 (Philips) using linear, convex and sector transducers (7-12 МHz, 3-5 МHz and 1.7-4.0 МHz correspondingly). In addition to standard protocols of heart and lungs description we registered also the square of consolidated parcels summarized for all lung segments, the number of B-lines summarized for all lung segments, the swing of diaphragm and lungs movement and calculated the diaphragm and lungs swing ratio. An attempt to describe the differences between pulmonary circulation in terms of pulmonary ultrasound sonography for heart defects for certain associated and not associated with lung filling with blood was successful. The total area of air-free/consolidated subpleural parcels of lungs and the extent of interstitial lung syndrome were the most informative sonographic characteristics. It was concluded that the interstitial oedema and alveolar consolidation, described in terms of transthoracic ultrasound sonography are advisable to use as markers of the disorders of pulmonary circulation, associated with heart congenital malformations in babies and infants.


Ahlam A Mohammad

Author for correspondence.
d.ahlam@mail.ru
St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation, Saint Petersburg, Russia

Postgraduate Student, Department of Hospital Pediatrics

Ivan I Akinshin

akinshinivan87@gmail.com
St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation, Saint Petersburg, Russia

Postgraduate Student, Department of Radiology and Biomedical Imaging Faculty of Postgraduate Education

Elena V Sinelnikova

sinelnikavae@gmail.com
St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation, Saint Petersburg, Russia

MD, PhD, Dr Med Sci, Professor, Head, Department of Radiology and Biomedical Imaging Faculty of Postgraduate Education

Alla Jur’evna Rotar

a_lepenchuk@mail.ru
St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation, Saint Petersburg, Russia

Student, Department of Radiology and Biomedical Imaging Faculty of Postgraduate Education

Vyacheslav G Chasnyk

chasnyk@gmail.com
St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation, Saint Petersburg, Russia

MD, PhD, Dr Med Sci, Professor, Head, Department of Hospital Pediatrics

Irina V Solodkova

isolodkova@mail.ru
St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation, Saint Petersburg, Russia

MD, Associate professor, Chair of Hospital Pediatrics

Elena V Baryshek

barishek@yandex.ru
St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation, Saint Petersburg, Russia

MD, Professor, Chair of Hospital Pediatrics

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Copyright (c) 2017 Mohammad A.A., Akinshin I.I., Sinelnikova E.V., Rotar A.J., Chasnyk V.G., Solodkova I.V., Baryshek E.V.

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