The Clinical Evaluation of Anomalous Bronchi Arising From The Trachea and Main Bronchi.
10.4046/trd.2005.59.6.664
- Author:
Jun Chul KIM
1
;
Yeon Jae KIM
;
Byung Jun KANG
;
Young Deuk YOUN
;
Se Young LEE
;
Young Lan KWON
;
Soo Ok LEE
;
Chi Yeong JEONG
;
Byung Ki LEE
Author Information
1. Department of Internal Medicine, Fatima Hospital, Daegu, Korea. persimmonkim@lycos.co.kr
- Publication Type:Original Article
- Keywords:
Bronchial anomaly;
Tracheal bronchus;
Accessory cardiac bronchus
- MeSH:
Bronchi*;
Bronchoscopy;
Cough;
Dyspnea;
Hemoptysis;
Humans;
Lung Diseases;
Retrospective Studies;
Trachea*
- From:Tuberculosis and Respiratory Diseases
2005;59(6):664-669
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: To evaluate the clinical significance of abnormal bronchi originating from the trachea or main bronchi. METHODS: 21 patients (male:female ratio, 13:8; mean age, 58.2 years, range 34-77), who were diagnosed with major tracheobronchial anomalies by bronchoscopy from January 2001 to March 2005, were enrolled in this study. The anomalous bronchi consisted of 13 tracheal bronchi and 8 cardiac accessory bronchus. The clinical features, bronchoscopic findings, and outcomes were analyzed retrospectively. RESULTS: Common symptoms, including hemoptysis, cough and dyspnea, resulted from the underlying lung disease regardless of the bronchial anomalies. In this series of 13 tracheal bronchi, 7 cases originated from the trachea within 1cm of the carina (carinal type) and 6 cases originated at a higher level(tracheal type). Most patients had favorable outcome with conservative treatment for the underlying lung disease. CONCLUSION: Most tracheobronchial anomalies are found incidentally in the process of diagnosing lung disease. The clinical outcome of patients with a bronchial anomaly depends on the underlying lung disease.