Imaging of a baby with recurrent airway infections

Sucheta Barman1, Debasree Gangopadhyay1, Mahua Roy1

  • 1Department of Paediatric Cardiology, NH Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, West Bengal, India.

PubMed

Insights

Vascular anomalies can cause airway symptoms in infants, necessitating careful echocardiographic evaluation. Echocardiograms are crucial for identifying these rare but significant cardiovascular causes of infant breathing and feeding issues.

Area of Science:

  • Pediatric Cardiology
  • Neonatal Medicine
  • Congenital Abnormalities

Background:

  • Stridor, choking, and recurrent respiratory infections are frequent reasons for pediatric echocardiography.
  • Vascular anomalies are uncommon but critical etiologies of airway compromise and feeding problems in infants.

Purpose of the Study:

  • To emphasize the importance of evaluating for vascular anomalies during echocardiography in infants presenting with airway symptoms.
  • To highlight the role of echocardiography in diagnosing cardiovascular causes of infant respiratory and feeding difficulties.

Main Methods:

  • Review of clinical presentations leading to echocardiographic referral.
  • Echocardiographic assessment for cardiovascular abnormalities, including vascular anomalies.

Main Results:

  • Vascular anomalies represent a rare but significant differential diagnosis for infant airway symptoms.
  • Echocardiography can effectively identify cardiovascular structures contributing to airway obstruction.

Conclusions:

  • Careful echocardiographic examination is essential in infants with stridor, choking, or recurrent respiratory infections to rule out vascular anomalies.
  • Early identification of vascular anomalies via echocardiography can guide appropriate management for affected infants.

Related Concept Videos

Radiological Investigation II: MRI and Ventilation Perfusion Scan01:30

Radiological Investigation II: MRI and Ventilation Perfusion Scan

Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
536
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
3.0K
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
921
Physical Assessment of the Respiratory Tract II: Inspection01:27

Physical Assessment of the Respiratory Tract II: Inspection

Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
844
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies01:27

Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies

Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
3.1K
Respiratory System Abnormal Finding I: Inspection and Percussion01:30

Respiratory System Abnormal Finding I: Inspection and Percussion

Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
778