Pediatric Radiology

, Volume 40, Issue 5, pp 762–765 | Cite as

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

  • Lee K. Collins
  • Terry L. Levin
  • Walter E. Berdon
  • Robert A. Cowles
  • Beverley Newman
Historical Perspective


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.


Right middle lobe emphysema Left-to-right shunt Children 


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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Lee K. Collins
    • 1
  • Terry L. Levin
    • 2
  • Walter E. Berdon
    • 3
  • Robert A. Cowles
    • 4
  • Beverley Newman
    • 5
  1. 1.Department of RadiologySchneiders Children’s HospitalManhassetUSA
  2. 2.Department of RadiologyMontefiore Medical CenterMamaroneckUSA
  3. 3.Department of RadiologyColumbia Presbyterian Medical CenterNew YorkUSA
  4. 4.Department of Surgery, Division of Pediatric SurgeryColumbia University College of Physicians and SurgeonsNew YorkUSA
  5. 5.Department of RadiologyStanford UniversityPalo AltoUSA

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