Skip to main content

Advertising Disclaimer »

Main menu

  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors/Reviewers
    • Submit Manuscript
    • Author Guidelines
    • Reviewer Guidelines
    • Open Access
    • Editorial Policies
  • Content
    • Current Issue
    • Online First
    • Archive
    • Blogs
    • Topic/Program Collections
    • AAP Meeting Abstracts
  • Pediatric Collections
    • COVID-19
    • Racism and Its Effects on Pediatric Health
    • More Collections...
  • AAP Policy
  • Supplements
  • Multimedia
    • Video Abstracts
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers
  • Other Publications
    • American Academy of Pediatrics

User menu

  • Log in

Search

  • Advanced search
American Academy of Pediatrics

AAP Gateway

Advanced Search

AAP Logo

  • Log in
  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors/Reviewers
    • Submit Manuscript
    • Author Guidelines
    • Reviewer Guidelines
    • Open Access
    • Editorial Policies
  • Content
    • Current Issue
    • Online First
    • Archive
    • Blogs
    • Topic/Program Collections
    • AAP Meeting Abstracts
  • Pediatric Collections
    • COVID-19
    • Racism and Its Effects on Pediatric Health
    • More Collections...
  • AAP Policy
  • Supplements
  • Multimedia
    • Video Abstracts
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers

Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
EXPERIENCE AND REASON

Congestive Heart Failure in a Neonate Secondary to Bilateral Intralobar and Extralobar Pulmonary Sequestrations

Philip C. Spinella, Margaret J. Strieper and Charles W. Callahan
Pediatrics January 1998, 101 (1) 120-124; DOI: https://doi.org/10.1542/peds.101.1.120
Philip C. Spinella
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Margaret J. Strieper
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Charles W. Callahan
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • Comments
Loading

This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.

Download PDF
  • Abbreviations:
    CHF =
    congestive heart failure •
    ILS =
    intralobar sequestration •
    ELS =
    extralobar sequestration •
    RR =
    respiratory rate •
    HR =
    heart rate •
    MRI =
    magnetic resonance imaging •
    AVM =
    arteriovenous malformation •
    BPFM =
    bronchopulmonary foregut malformation •
    MRA =
    magnetic resonance angiography
  • Signs and symptoms of congestive heart failure (CHF) in a newborn include tachycardia, respiratory distress, feeding intolerance, irritability, and a weak cry. The neonate with CHF will usually have hepatosplenomegaly. Wheezing or crackles may be heard. Edema may be generalized, and a chest radiograph will usually reveal cardiomegaly. Differential diagnosis of CHF in a full-term newborn includes congenital heart disease, asphyxial cardiomyopathy, viral myocarditis, supraventricular tachycardia, diabetic cardiomyopathy, and arteriovenous malformations.

    In this report we describe the first documented newborn with CHF due to a coexisting bilateral intralobar sequestration (ILS) and extralobar sequestration (ELS), and summarize the cases of bilateral sequestrations previously reported in the English literature.

    CASE REPORT

    A 4117-g full-term boy was born via a spontaneous vaginal delivery to a group B streptococcus-negative 24-year-old woman. Apgar scores were 8/9 at 1 and 5 minutes. After the first 4 hours of life the patient remained tachypneic with a respiratory rate (RR) of 60 to 100 and tachycardic with a heart rate (HR) of 160 to 200. In room air the oxygen percent saturation was 100%. There were no maternal infectious risk factors, and the child was feeding well and otherwise asymptomatic. After 48 hours of observation, his RR remained at 70 to 80 and his HR remained at 170 to 190. He had a normal complete blood count and chest radiograph. The patient was discharged and was seen daily without resolution of the tachypnea or tachycardia and without developing any signs of sepsis. On the eighth day of life, in addition to his tachypnea and tachycardia, his liver was noted to be palpable 4 cm below the right costal margin. He was then admitted for observation and an evaluation by pediatric cardiology for suspected CHF.

    On admission the patient was afebrile. His weight was 4553 g; RR 68; HR 164; blood …

    Individual Login

    Log in
    You will be redirected to aap.org to login or to create your account.

    Institutional Login

    via Institution

    You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.

    Log in through your institution

    If your organization uses OpenAthens, you can log in using your OpenAthens username and password. To check if your institution is supported, please see this list. Contact your library for more details.

    Pay Per Article - You may access this article (from the computer you are currently using) for 2 days for US$25.00

    Regain Access - You can regain access to a recent Pay per Article purchase if your access period has not yet expired.

    Offer Reprints

    PreviousNext
    Back to top

    Advertising Disclaimer »

    In this issue

    Pediatrics
    Vol. 101, Issue 1
    1 Jan 1998
    • Table of Contents
    • Index by author
    View this article with LENS
    PreviousNext
    Email Article

    Thank you for your interest in spreading the word on American Academy of Pediatrics.

    NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

    Enter multiple addresses on separate lines or separate them with commas.
    Congestive Heart Failure in a Neonate Secondary to Bilateral Intralobar and Extralobar Pulmonary Sequestrations
    (Your Name) has sent you a message from American Academy of Pediatrics
    (Your Name) thought you would like to see the American Academy of Pediatrics web site.
    CAPTCHA
    This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
    Request Permissions
    Article Alerts
    Log in
    You will be redirected to aap.org to login or to create your account.
    Or Sign In to Email Alerts with your Email Address
    Citation Tools
    Congestive Heart Failure in a Neonate Secondary to Bilateral Intralobar and Extralobar Pulmonary Sequestrations
    Philip C. Spinella, Margaret J. Strieper, Charles W. Callahan
    Pediatrics Jan 1998, 101 (1) 120-124; DOI: 10.1542/peds.101.1.120

    Citation Manager Formats

    • BibTeX
    • Bookends
    • EasyBib
    • EndNote (tagged)
    • EndNote 8 (xml)
    • Medlars
    • Mendeley
    • Papers
    • RefWorks Tagged
    • Ref Manager
    • RIS
    • Zotero
    Share
    Congestive Heart Failure in a Neonate Secondary to Bilateral Intralobar and Extralobar Pulmonary Sequestrations
    Philip C. Spinella, Margaret J. Strieper, Charles W. Callahan
    Pediatrics Jan 1998, 101 (1) 120-124; DOI: 10.1542/peds.101.1.120
    del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
    Print
    Download PDF
    Insight Alerts
    • Table of Contents

    Jump to section

    • Article
      • CASE REPORT
      • DISCUSSION
      • ACKNOWLEDGMENT
      • Footnotes
      • REFERENCES
    • Figures & Data
    • Info & Metrics
    • Comments

    Related Articles

    • No related articles found.
    • PubMed
    • Google Scholar

    Cited By...

    • No citing articles found.
    • Google Scholar

    More in this TOC Section

    • Invasive Pulmonary and Central Nervous System Aspergillosis After Near-Drowning of a Child: Case Report and Review of the Literature
    • Intracranial Hemorrhage as the Initial Manifestation of a Congenital Disorder of Glycosylation
    • Thoracolumbar Syrinx in Association With Williams Syndrome
    Show more EXPERIENCE AND REASON

    Similar Articles

    Subjects

    • Fetus/Newborn Infant
      • Fetus/Newborn Infant
      • Neonatology
    • Cardiology
      • Cardiology
      • Cardiovascular Disorders
    • Journal Info
    • Editorial Board
    • Editorial Policies
    • Overview
    • Licensing Information
    • Authors/Reviewers
    • Author Guidelines
    • Submit My Manuscript
    • Open Access
    • Reviewer Guidelines
    • Librarians
    • Institutional Subscriptions
    • Usage Stats
    • Support
    • Contact Us
    • Subscribe
    • Resources
    • Media Kit
    • About
    • International Access
    • Terms of Use
    • Privacy Statement
    • FAQ
    • AAP.org
    • shopAAP
    • Follow American Academy of Pediatrics on Instagram
    • Visit American Academy of Pediatrics on Facebook
    • Follow American Academy of Pediatrics on Twitter
    • Follow American Academy of Pediatrics on Youtube
    • RSS
    American Academy of Pediatrics

    © 2021 American Academy of Pediatrics