Infant acute respiratory distress syndrome is a lung disorder that affects premature infants caused by developmental insufficiency of surfactant production and structural immaturity of the lungs. The symptoms usually appear shortly after birth and may include tachypnea, tachycardia, chest wall retractions (recession), expiratory grunting, nasal flaring and cyanosis during breathing efforts.
The presence of an abnormality of cardiac function that is responsible for the failure of the heart to pump blood at a rate that is commensurate with the needs of the tissues or a state in which abnormally elevated filling pressures are required for the heart to do so. Heart failure is frequently related to a defect in myocardial contraction.
[Persisting ductus arteriosus botalli in a new-born with the hyaline membrane syndrome (author's transl)].
Pohl V, Schnaufer J, Mollering M, Kowalewski S. Klin Padiatr. 1975;187(4):377-83.
The case of a female premature (1410 g/46 cm) with severe respiratory distress syndrome is presented, which after initial improvement of the hyaline membrane disease developed the typical clinical findings of a persistent ductus arteriosus with severe congestive heart failure.
