0
June 1981, Vol 135, No. 6 >
Article | June 1981

Pectus Excavatum From Chronic Upper Airway Obstruction FREE

Leland Fan, MD; Shirley Murphy, MD
[+] Author Affiliations

Reprint requests to Department of Pediatrics, University of New Mexico School of Medicine, Albuquerque, NM 87131 (Dr Fan).


Am J Dis Child. 1981;135(6):550-552. doi:10.1001/archpedi.1981.02130300050017.
Text Size: A A A
Published online
Article
References
Comments

• Two patients with enlarged adenoids and tonsils had cardiopulmonary distress and pectus excavatum. In both patients, the cardiorespiratory difficulty and the pectus deformity were relieved by removing the obstructive adenoids and tonsils. This observation supports the hypothesis that upper airway obstruction can cause a chest wall deformity. In a patient with cardiorespiratory distress and pectus excavatum, upper airway obstruction should be considered.

(Am J Dis Child 1981;135:550-552)

REFERENCES

1 +
Ainger LE:  Large tonsils and adenoids in small children with cor pulmonale . Br Heart J 1968;;30:356-362.
2 +
Bland JW, Edwards FK, Brinsfield D:  Pulmonary hypertension and congestive heart failure in children with chronic upper airway obstruction . Am J Cardiol 1969;;23:830-837.
3 +
Boat TF, Polmar SH, Whitman V, et al:  Hyperreactivity to cow milk in young children with pulmonary hemosiderosis and cor pulmonale secondary to nasopharyngeal obstruction .J Pediatr 1975;;87:23-29.
4 +
Cayler GG, Johnson EE, Lewis BE, et al:  Heart failure due to enlarged tonsils and adenoids: The cardiorespiratory syndrome of increased airway resistance . Am J Dis Child 1969;;118:708-717.
5 +
Cox MA, Schiebler GL, Taylor WJ, et al:  Reversible pulmonary hypertension in a child with respiratory obstruction and cor pulmonale . J Pediatr 1965;;67:192-197.
6 +
Cronje RE, Human GP, Simson IW:  Hypoxaemic pulmonary hypertension in children . S Afr Med J 1966;;40:2-7.
7 +
Edison BD, Kerth JD:  Tonsilloadenoid hypertrophy resulting in cor pulmonale . Arch Otolaryngol 1973;;98:205-207.
8 +
Freeman WJ:  Adenoid hypertrophy, cyanosis and cor pulmonale, in children with congenital heart disease . Laryngoscope 1973;;83:238-249.
9 +
Gerald B, Dungan WT:  Cor pulmonale and pulmonary edema in children secondary to chronic upper airway obstruction . Radiology 1968;;90:679-682.
10 +
Gresham EL, Armstrong JG:  Cardiac failure from tonsillar enlargement: A reminder . Clin Pediatr 1971;;10:236-238.
11 +
Jaffee IS:  Adenotonsillectomy as the treatment of serious medical conditions: Five case reports . Laryngoscope 1974;;84:1135-1141.
12 +
Kravath RE, Pollak CP, Borowiecki B:  Hypoventilation during sleep in children who have lymphoid airway obstruction treated by nasopharyngeal tube and T and A . Pediatrics 1977;; 59:865-871.
13 +
Levin DL, Muster AJ, Pachman LM, et al:  Cor pulmonale secondary to upper airway obstruction: Cardiac catheterization, immunologic, and psychometric evaluation in nine patients . Chest 1975;;68:166-171.
14 +
Levy AM, Tabakin BS, Hanson JS, et al:  Hypertrophied adenoids causing pulmonary hypertension and severe congestive heart failure . N Engl J Med 1967;;277:506-511.
15 +
Luke MJ, Mehrizi A, Folger GM, et al:  Chronic nasopharyngeal obstruction as a csuse of cardiomegaly, cor pulmonale, and pulmonary edema . Pediatrics 1966;;37:762-768.
16 +
Macartney FJ, Panday J, Scott O:  Cor pulmonale as a result of chronic nasopharyngeal obstruction due to hypertrophied tonsils and adenoids . Arch Dis Child 1969;;44:585-592.
17 +
Massumi RA, Sarin RK, Pooya M, et al:  Tonsillar hypertrophy, airway obstruction, alveolar hypoventilation and cor pulmonale in twin brothers . Dis Chest 1969;;55:110-114.
18 +
Menashe VD, Farrehi C, Miller M:  Hypoventilation and cor pulmonale due to chronic upper airway obstruction . J Pediatr 1965;;67:198-203.
19 +
Noonan JA:  Reversible cor pulmonale due to hypertrophied tonsils and adenoids: Studies in two cases . Circulation 1965;;32( (suppl 2) ):164.
20 +
Olsen KD, Kern EB, O'Connell EJ:  Pectus excavatum: Resolution after surgical removal of upper airway obstruction . Laryngoscope 1980;; 90:832-837.
21 +
Pilapil VR, Day LH, Watson DG:  Cor pulmonale resulting from chronic upper airway obstruction . Surg Forum 1967;;18:493-495.
22 +
Setliff RC, Puyau FA, Ward PH:  Pulmonary hypertension secondary to chronic upper airway obstruction . Laryngoscope 1968;;78:845-856.
23 +
Talbot AR, Robertson LW:  Cardiac failure with tonsil and adenoid hypertrophy . Arch Otolaryngol 1973;;98:277-281.
24 +
Thanopoulos B, Ikkos DD, Milingos M, et al:  Cardiorespiratory syndrome due to enlarged tonsils and adenoids . Acta Paediatr Scand 1975;;64:659-663.
25 +
Ravitch MM: Congenital Deformities of the Chest Wall and Their Operative Correction . Philadelphia, WB Saunders Co, 1977;, pp 78-205.
26 +
Warkany J: Congenital Malformations: Notes and Comments . Chicago, Year Book Medical Publishers, 1971;, pp 934-936.
27 +
Williams HE, Phelan PD: Respiratory Illness in Children . Oxford, England, Blackwell Scientific Publications, 1975;, p 397.
28 +
Polgar G, Koop CE:  Pulmonary function in pectus excavatum . Pediatrics 1963;;32:209-215.
29 +
Phelan PD, Gillam GL, Stocks JG, et al:  The clinical and physiological manifestations of the infantile larynx . Aust Paediatr J 1971;;7:135-140.
30 +
Clark JG, Grenville-Mathers, R:  Pectus excavatum . Br J Dis Chest 1962;;56:202-205.
31 +
Polgar G:  Practical pulmonary physiology: A functional analysis of symptoms and therapeutic measures of respiratory disorders of newborn infants . Pediatr Clin North Am 1973;;20:303-322.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Ainger LE:  Large tonsils and adenoids in small children with cor pulmonale . Br Heart J 1968;;30:356-362.
2 +
Bland JW, Edwards FK, Brinsfield D:  Pulmonary hypertension and congestive heart failure in children with chronic upper airway obstruction . Am J Cardiol 1969;;23:830-837.
3 +
Boat TF, Polmar SH, Whitman V, et al:  Hyperreactivity to cow milk in young children with pulmonary hemosiderosis and cor pulmonale secondary to nasopharyngeal obstruction .J Pediatr 1975;;87:23-29.
4 +
Cayler GG, Johnson EE, Lewis BE, et al:  Heart failure due to enlarged tonsils and adenoids: The cardiorespiratory syndrome of increased airway resistance . Am J Dis Child 1969;;118:708-717.
5 +
Cox MA, Schiebler GL, Taylor WJ, et al:  Reversible pulmonary hypertension in a child with respiratory obstruction and cor pulmonale . J Pediatr 1965;;67:192-197.
6 +
Cronje RE, Human GP, Simson IW:  Hypoxaemic pulmonary hypertension in children . S Afr Med J 1966;;40:2-7.
7 +
Edison BD, Kerth JD:  Tonsilloadenoid hypertrophy resulting in cor pulmonale . Arch Otolaryngol 1973;;98:205-207.
8 +
Freeman WJ:  Adenoid hypertrophy, cyanosis and cor pulmonale, in children with congenital heart disease . Laryngoscope 1973;;83:238-249.
9 +
Gerald B, Dungan WT:  Cor pulmonale and pulmonary edema in children secondary to chronic upper airway obstruction . Radiology 1968;;90:679-682.
10 +
Gresham EL, Armstrong JG:  Cardiac failure from tonsillar enlargement: A reminder . Clin Pediatr 1971;;10:236-238.
11 +
Jaffee IS:  Adenotonsillectomy as the treatment of serious medical conditions: Five case reports . Laryngoscope 1974;;84:1135-1141.
12 +
Kravath RE, Pollak CP, Borowiecki B:  Hypoventilation during sleep in children who have lymphoid airway obstruction treated by nasopharyngeal tube and T and A . Pediatrics 1977;; 59:865-871.
13 +
Levin DL, Muster AJ, Pachman LM, et al:  Cor pulmonale secondary to upper airway obstruction: Cardiac catheterization, immunologic, and psychometric evaluation in nine patients . Chest 1975;;68:166-171.
14 +
Levy AM, Tabakin BS, Hanson JS, et al:  Hypertrophied adenoids causing pulmonary hypertension and severe congestive heart failure . N Engl J Med 1967;;277:506-511.
15 +
Luke MJ, Mehrizi A, Folger GM, et al:  Chronic nasopharyngeal obstruction as a csuse of cardiomegaly, cor pulmonale, and pulmonary edema . Pediatrics 1966;;37:762-768.
16 +
Macartney FJ, Panday J, Scott O:  Cor pulmonale as a result of chronic nasopharyngeal obstruction due to hypertrophied tonsils and adenoids . Arch Dis Child 1969;;44:585-592.
17 +
Massumi RA, Sarin RK, Pooya M, et al:  Tonsillar hypertrophy, airway obstruction, alveolar hypoventilation and cor pulmonale in twin brothers . Dis Chest 1969;;55:110-114.
18 +
Menashe VD, Farrehi C, Miller M:  Hypoventilation and cor pulmonale due to chronic upper airway obstruction . J Pediatr 1965;;67:198-203.
19 +
Noonan JA:  Reversible cor pulmonale due to hypertrophied tonsils and adenoids: Studies in two cases . Circulation 1965;;32( (suppl 2) ):164.
20 +
Olsen KD, Kern EB, O'Connell EJ:  Pectus excavatum: Resolution after surgical removal of upper airway obstruction . Laryngoscope 1980;; 90:832-837.
21 +
Pilapil VR, Day LH, Watson DG:  Cor pulmonale resulting from chronic upper airway obstruction . Surg Forum 1967;;18:493-495.
22 +
Setliff RC, Puyau FA, Ward PH:  Pulmonary hypertension secondary to chronic upper airway obstruction . Laryngoscope 1968;;78:845-856.
23 +
Talbot AR, Robertson LW:  Cardiac failure with tonsil and adenoid hypertrophy . Arch Otolaryngol 1973;;98:277-281.
24 +
Thanopoulos B, Ikkos DD, Milingos M, et al:  Cardiorespiratory syndrome due to enlarged tonsils and adenoids . Acta Paediatr Scand 1975;;64:659-663.
25 +
Ravitch MM: Congenital Deformities of the Chest Wall and Their Operative Correction . Philadelphia, WB Saunders Co, 1977;, pp 78-205.
26 +
Warkany J: Congenital Malformations: Notes and Comments . Chicago, Year Book Medical Publishers, 1971;, pp 934-936.
27 +
Williams HE, Phelan PD: Respiratory Illness in Children . Oxford, England, Blackwell Scientific Publications, 1975;, p 397.
28 +
Polgar G, Koop CE:  Pulmonary function in pectus excavatum . Pediatrics 1963;;32:209-215.
29 +
Phelan PD, Gillam GL, Stocks JG, et al:  The clinical and physiological manifestations of the infantile larynx . Aust Paediatr J 1971;;7:135-140.
30 +
Clark JG, Grenville-Mathers, R:  Pectus excavatum . Br J Dis Chest 1962;;56:202-205.
31 +
Polgar G:  Practical pulmonary physiology: A functional analysis of symptoms and therapeutic measures of respiratory disorders of newborn infants . Pediatr Clin North Am 1973;;20:303-322.

Correspondence

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems