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Rudhe syndrome: reversible right middle lobe emphysema in infants with left-to-right shunts—an historical review

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Abstract

In 1971, the Swedish radiologist Ulf Rudhe wrote a provocative paper on right middle lobe emphysema in infants with left-to-right shunts in which he suggested cardiac surgery rather than lung resection. At the time, this was counter to accepted medical practice. Earlier diagnosis and better medical management of ventricular septal defect in infants has proved Rudhe correct. However, two current cases of large left-to-right shunts in infants with emphysema of the right middle lobe prompt this historical review of what seemed a closed-episode in pediatric cardiac surgery.

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Authors and Affiliations

  1. Department of Radiology, Schneiders Children’s Hospital, Manhasset, NY, USA

    Lee K. Collins

  2. Department of Radiology, Montefiore Medical Center, 714 Forest Ave., Mamaroneck, NY, 10543, USA

    Terry L. Levin

  3. Department of Radiology, Columbia Presbyterian Medical Center, New York, NY, USA

    Walter E. Berdon

  4. Department of Surgery, Division of Pediatric Surgery, Columbia University College of Physicians and Surgeons, New York, NY, USA

    Robert A. Cowles

  5. Department of Radiology, Stanford University, Palo Alto, CA, USA

    Beverley Newman

Authors
  1. Lee K. Collins
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  2. Terry L. Levin
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  3. Walter E. Berdon
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  4. Robert A. Cowles
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  5. Beverley Newman
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Corresponding author

Correspondence to Terry L. Levin.

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Collins, L.K., Levin, T.L., Berdon, W.E. et al. Rudhe syndrome: reversible right middle lobe emphysema in infants with left-to-right shunts—an historical review. Pediatr Radiol 40, 762–765 (2010). https://doi.org/10.1007/s00247-009-1530-0

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  • DOI: https://doi.org/10.1007/s00247-009-1530-0

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