AI Article Synopsis
- Four patients with bronchopulmonary foregut malformation were surgically treated at Kobe Children's Hospital from 1993 to 2004, three of whom faced severe respiratory issues at birth due to congenital tracheobronchial stenosis.
- In these cases, unusual bronchi originated from the esophagus and connected to areas of the lung, with variations affecting the left and right lungs.
- Surgical interventions varied, including division and reconnection of bronchial tissue, lung resection, or removal of the lung, highlighting the complexity of managing this life-threatening condition.
Article Abstract
A total of four patients with communicating bronchopulmonary foregut malformation were treated surgically at Kobe Children's Hospital between 1993 and 2004. Of these, three patients displayed congenital tracheobronchial stenosis and developed life-threatening respiratory distress soon after birth. In each case, anomalous bronchi arose from the lower portion of the esophagus and connected to the lower part of the ipsilateral lung. This anomaly involved the right lung in two patients, and the left lung in one patient. Tracheobronchial stenosis extended from the inlet of the thorax to the carina in one patient, and to the contralateral main stem bronchus in two patients. Surgical treatment included division of the esophageal bronchus and anastomosis of bronchus to the trachea in one patient. In the other patient, the ipsilateral lung was resected and the stenotic tracheobronchus was stented. The remaining patient underwent pneumonectomy of the ipsilateral lung. Details of this fatal anomaly and a discussion of appropriate surgical management are described herein.
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| http://dx.doi.org/10.1007/s00383-005-1520-8 | DOI Listing |
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